JOHN G PORTER (M.D.) – Interventional Pain Medicine Physician, NPI 1114962156
Interventional Pain Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for JOHN G PORTER (M.D.)
790, Church Street Northeast, Elizabeth, Marietta, Cobb, Georgia, 30060, United States
SUITE 550
MARIETTA, GA 300607282
Phone: (770) 419-9902
Fax: (770) 419-7457
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $33.
Total Amount is formed as General ($33) + Research ($0) + Ownership ($0) = $33.
Last reported payment date: 2024-04-24 • Largest payer in this snapshot: Stryker Corporation ($33).
Total Amount
$33
General + Research + Ownership
Payments
1
Total payment records
General Amount
$33
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $33 |
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: 2004-02-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040212000101 | I | Interventional Pain Management | GA | TBD |
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.
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 30060)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERVENTIONAL PAIN MANAGEMENT | GA | 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 49 | 31 |
| INTERVENTIONAL PAIN MANAGEMENT | GA | 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 22 | 15 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Interventional Pain Management | GA | |
| Nurse Practitioner | GA | |
| Interventional Pain Management | GA | |
| Interventional Pain Management | GA | |
| Interventional Pain Management, Physical Medicine And Rehabilitation | GA | |
| Pain Management | NC | |
| A N E S T H E S I O L O G Y | AL | |
| Physician Assistant | GA |
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