NPI age
6 years
Enumerated 2020-02-04
● Active Type 2 · Organization
Port Medical Management Inc
Port Medical Management Inc is 1 of 5448 family medicine organizations in Georgia.
Primary specialty
Family Medicine
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Moore
Office Manager
Last NPPES update
2020-02-05
Source: monthly bulk 2026-05
How this organization compares
Across 5448 active family medicine providers in Georgia.
NPI age
6 years
↓ 11 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 26% of peers with subspecialties
NPI lifetime · 2020 → 2026
2020-02Enumerated in NPPES
2020
2026
Where they practice
Primary practice location
920 S West St
Bainbridge, GA 398194581
Mailing address
922 S West St
Bainbridge, GA 398194581
Authorized official
Jennifer Moore
Office Manager
📞 2294000498
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Ladonna Bass Family Medicine NPI 1043056443
- Lorraine West, NP Nurse Practitioner NPI 1922960632
Specialties
-
Family Medicine PrimaryFamily 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...
-
Nurse PractitionerDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 1013306547 | FAMILY PRACTICE |
| 01 (GA) | 1174851745 | FAMILY PRACTICE |
| 01 (GA) | 1972570943 | FAMILY PRACTICE |
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
THE BRIDGE
-
THE BRIDGE
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.