| Dr Jake J Porter Iii, MD, MPH | |
|
1240 Eagles Landing Pkwy Ste 300, Stockbridge, GA 30281-5173 | |
| (770) 506-4350 | |
| (770) 506-9860 |
| Full Name | Dr Jake J Porter Iii |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 13 Years |
| Location | 1240 Eagles Landing Pkwy Ste 300, Stockbridge, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235492737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 72625 (Georgia) | Primary |
| 207X00000X | Orthopaedic Surgery | MD460968 (Pennsylvania) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vohra Wound Physicians Of Fl Llc | 6406039882 | 65 |
| Entity Name | Cooperative Healthcare Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417979402 PECOS PAC ID: 9830093640 Enrollment ID: O20031124000222 |
| Entity Name | Orthoatlanta, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851937114 PECOS PAC ID: 3971406885 Enrollment ID: O20040129000005 |
| Entity Name | Vohra Wound Physicians Of Fl Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598061293 PECOS PAC ID: 6406039882 Enrollment ID: O20110401000812 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jake J Porter Iii, MD, MPH 900 Circle 75 Pkwy Se Ste 1700, Atlanta, GA 30339-3087 Ph: (770) 953-6929 | Dr Jake J Porter Iii, MD, MPH 1240 Eagles Landing Pkwy Ste 300, Stockbridge, GA 30281-5173 Ph: (770) 506-4350 |
Joshua Murphy, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1492 Hudson Bridge Rd, Stockbridge, GA 30281 Phone: 404-255-1933 Fax: 404-553-9830 | |
Steven Peter Rayappa, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 135 N Park Pl Ste 101, Stockbridge, GA 30281 Phone: 770-892-0273 Fax: 470-878-1495 | |
Paul Richard Beck, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 175 Country Club Dr, Building 100, Suite E, Stockbridge, GA 30281 Phone: 770-507-5000 Fax: 770-507-5075 | |
David Eric O'neill, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1240 Eagles Landing Pkwy Ste 300, Stockbridge, GA 30281 Phone: 770-506-4350 Fax: 770-506-9860 | |
Dr. Brad Prybis, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 135 N Park Pl Ste 101, Stockbridge, GA 30281 Phone: 770-892-0300 Fax: 470-878-1495 | |
Rajiv D Pandya, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1035 Southcrest Dr, Suite 100, Stockbridge, GA 30281 Phone: 770-389-9005 Fax: 770-389-5251 |