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

Mr. Mesiah O'Mar Porter Jr.

Individual provider Family Nurse Practitioner · NPI 1134783368

Mr. Mesiah O'Mar Porter Jr. is a Nurse Practitioner in Duluth, Georgia. Qualified in 2023, 3 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
3
Licensed in
GA
In the registry since
2019

Practice location Address checks out

1611 Satellite Blvd Ste 3
Duluth, GA 30097-4913
Phone: (770) 614-6266
Fax: (770) 623-9949
Show map & directions

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

Additional practice locations (1)

  • 1875 Old Alabama Rd Ste 630, Roswell, GA 30076-2264 — (678) 682-8600

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 83-1469962 (GA)

Record details

NPI number1134783368
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 23, 2019
Last updated in NPPESApril 23, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Duluth