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

Samantha Porter

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1912781576

Samantha Porter is a Nurse Practitioner in Jackson, Mississippi. Qualified in 2023, 3 years ago. Practices with State of Mississippi - University of Mississippi Medical Center, a 952-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
3
Licensed in
MS
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

2500 N State St
Jackson, MS 39216-4500
Phone: (601) 984-5005
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1601 Greene St, Columbia, SC 29208-4001 — (803) 777-7412

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 906538 (MS)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1912781576
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 23, 2023
Last updated in NPPESApril 19, 2024
Certification dateApril 19, 2024
Mailing address1601 Greene St, Columbia, SC 29208-4001

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)
Group practice State Of Mississippi - University Of Mississippi Medical Center — 952 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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