Portland Medical
NPI 1679230510 · Primary Care Clinic/Center · Portland, TN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Portland Medical is a Primary Care Clinic/Center organization in Portland, TN (NPI 1679230510).
Provider details
- NPI number
- 1679230510
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lisa Nazarenus, Apn(615) 804-9470
Specialties & taxonomies
Ambulatory Health Care Facilities
- Health Service Clinic/Center261QH0100X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-11-28
- Last updated
- 2021-11-28
- Certified
- 2021-11-28
Frequently asked questions
- What is Portland Medical's NPI number?
- Portland Medical's National Provider Identifier (NPI) is 1679230510, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Portland Medical?
- Portland Medical is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Portland Medical located?
- Portland Medical's practice location on file with NPPES is 307 S Broadway St, Portland, TN 37148-1413.
- What is Portland Medical's phone number?
- The practice phone number listed in the NPPES registry for Portland Medical is (615) 325-6755.
- Does Portland Medical accept Medicare?
- Portland Medical is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Portland Medical?
- The authorized official listed on Portland Medical's NPPES record is Lisa Nazarenus, Apn. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Portland Medical's NPI active?
- Yes — Portland Medical's NPI (1679230510) is active in the NPPES registry as of the last update on 2021-11-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.