THE BRIDGE
NPI 1932731361
Family Medicine in Bainbridge, GA

Active since February 04, 2020CLIA 11D2212621 · Waiver
920 S WEST ST, BAINBRIDGE, GA 39819(229) 400-0498 Get Directions Write a Review

NPPES record last updated: February 5, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About The Bridge NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE BRIDGE (NPI 1932731361) is a healthcare organization registered as a family medicine in Bainbridge, Georgia and active in the NPI registry since February 2020. The organization holds a CLIA Waiver certificate valid through February 4, 2027 and lists Jennifer Moore, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1932731361
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePORT MEDICAL MANAGEMENT INC
Location Address920 S WEST STBainbridge, GA 39819-4581
Mailing Address922 S West StBainbridge, GA 39819-4581 · (229) 248-8499
Organization SubpartNo
Authorized OfficialJennifer MooreOffice Manager · (229) 400-0498
Enumeration DateFebruary 4, 2020
Last NPPES UpdateFebruary 5, 2020
✔ NPI 1932731361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
920 S WEST ST, Bainbridge, GA 39819

Other Names 1

Doing Business AsThe Bridge

Other Identifiers 3

Other1013306547GA · Family Practice
Other1174851745GA · Family Practice
Other1972570943GA · Family Practice

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

The Bridge is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to The Bridge, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Family Practice
NPI 1972570943
603 WHEAT AVE SUITE 700
Bainbridge, GA 39819
(229) 243-8462
✔ PECOS✔ Accepts Medicare1.4 mi
Nurse Practitioner
NPI 1851884068
1500 E SHOTWELL ST
Bainbridge, GA 39819
(229) 220-9301
✔ PECOS✔ Accepts Medicare1.6 mi
Nurse Practitioner
NPI 1215416516
827 GA HIGHWAY 93 N
Cairo, GA 39827
(229) 225-7238
✔ PECOS✔ Accepts Medicare23 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2212621

Port Medical Management, Inc · Bainbridge, GA
Active · expires Feb 4, 2027
CLIA Number11D2212621
Laboratory TypePhysician Office
Certificate Effective DateFebruary 5, 2025
Certificate Expiration DateFebruary 4, 2027
Laboratory DirectorDarrell S. Surratt
Laboratory Phone(229) 246-8850
Laboratory LocationPort Medical Management, Inc920 South West Street, Bainbridge, GA 39819
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Port Medical Management Inc's NPI number?

The NPI number for Port Medical Management Inc is 1932731361. It was assigned to this organization in the NPPES registry on February 4, 2020. The provider is doing business as The Bridge.

Where is Port Medical Management Inc located?

Port Medical Management Inc is located at 920 S West St, Bainbridge, GA 39819. The listed phone number is (229) 400-0498.

What is Port Medical Management Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Port Medical Management Inc enrolled in Medicare?

Yes. Port Medical Management Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Port Medical Management Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Port Medical Management Inc, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Port Medical Management Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2212621) is associated with this NPI, valid through February 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Port Medical Management Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Port Medical Management Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Port Medical Management Inc was last updated on February 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.