Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Madison Porter

Individual provider Physician Assistant · NPI 1336027259

Madison Porter is a Physician Assistant in Bowling Green, Kentucky. Qualified in 2025, 1 year ago. Practices with Southeastern Emergency Physicians LLC, a 786-clinician group and accepts Medicare assignment.

Years since qualifying
1
In the registry since
2025

Practice location Address checks out

250 Park St
Bowling Green, KY 42101-1760
Phone: (270) 745-1000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1336027259
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 27, 2025
Last updated in NPPESMarch 15, 2026
Certification dateMarch 15, 2026
Mailing address140 S Main St Ste 203, Madisonville, KY 42431-2500

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Southeastern Emergency Physicians Llc — 786 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Bowling Green