DR. EDNA KATHLEEN PORTER (MD) – Maternal & Fetal Medicine Physician, NPI 1720027535

DR. EDNA KATHLEEN PORTER (MD) is a healthcare provider. based in Mobile, Alabama. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. ME50841 (FL). The NPI Number for DR. EDNA KATHLEEN PORTER (MD) is 1720027535

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. EDNA KATHLEEN PORTER (MD)
NPI
1720027535
Phone
(251) 470-5842
Address
PO BOX 40480
Enumeration Date
6 June 2006
Last Update Date
14 November 2024

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Secondary Phone
5615151500
Graduation Year
2016 (10 years ago)
PAC ID
8921182197
Group Practice PAC ID
3274795109
Professional Enrollment ID
I20210920001898
Address ID
FL331361005MI1611XAVEX400

Contacts

Main Contact
Mednax
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

2,538 OBSTETRICS/GYNECOLOGY in FL

Provider Addresses for DR. EDNA KATHLEEN PORTER (MD)

  • PO BOX 40480

    MOBILE, AL 366400480

    Phone: (251) 470-5842

    Fax: (251) 470-5809

    Type: Mailing

  • 1600 S ANDREWS AVE

    FT LAUDERDALE, FL 333162510

    Phone: (954) 355-4400

    Type: Location

  • 1301 CONCORD TER

    SUNRISE, FL 333232843

    Phone: (800) 243-3839

    Fax: (251) 470-5809

    Type: Mailing

  • 16261 BASS RD

    FORT MYERS, FL 339083671

    Phone: (239) 481-5477

    Type: Location

  • 1707, Center Street, Lyons Park, Mobile County Commission District 1, Mobile, Mobile County, Alabama, 36604, United States

    SUITE 102

    MOBILE, AL 366043307

    Phone: (251) 415-1496

    Fax: (251) 415-1450

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $28.

Total Amount is formed as General ($28) + Research ($0) + Ownership ($0) = $28.

Last reported payment date: 2023-07-10 • Largest payer in this snapshot: Dexcom, Inc. ($15).

Total Amount

$28

General + Research + Ownership

Payments

2

Total payment records

General Amount

$28

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-09-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210920001898IObstetrics/GynecologyFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 36640)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3274795109View full group profile

Reviews

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Frequently asked questions

What is DR. EDNA KATHLEEN PORTER (MD)'s NPI number?
DR. EDNA KATHLEEN PORTER (MD)'s NPI is 1720027535 — the number used across U.S. healthcare to identify this provider.
Is DR. EDNA KATHLEEN PORTER (MD) still an active registrant?
DR. EDNA KATHLEEN PORTER (MD) carries an active NPI according to the public dataset.
How would a patient describe DR. EDNA KATHLEEN PORTER (MD)'s focus?
For DR. EDNA KATHLEEN PORTER (MD), the primary taxonomy reads as Maternal & Fetal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. EDNA KATHLEEN PORTER (MD) located near Mobile?
DR. EDNA KATHLEEN PORTER (MD) currently maps to Mobile, Alabama in this extract.
What does 5 location(s) imply?
5 practice locations appear in the available data.

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