Ms Surrell Porter, | |
1287 Georgia Highway 138 Spur, Suite 8, Jonesboro, GA 30236 | |
(770) 473-0038 | |
(770) 471-4290 |
Full Name | Ms Surrell Porter |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 9 Years |
Location | 1287 Georgia Highway 138 Spur, Jonesboro, Georgia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467827402 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP2300X | Nurse Practitioner - Primary Care | RN181538 (Georgia) | Secondary |
363LF0000X | Nurse Practitioner - Family | RN181538 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Southeast Permanente Medical Group | 6204829013 | 660 |
Entity Name | The Southeast Permanente Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370 |
Entity Name | Georgia Hospitalists Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033576376 PECOS PAC ID: 0840434866 Enrollment ID: O20130912000799 |
Mailing Address | Practice Location Address |
---|---|
Ms Surrell Porter, 1287 Georgia Highway 138 Spur, Suite 8, Jonesboro, GA 30236 Ph: (770) 473-0038 | Ms Surrell Porter, 1287 Georgia Highway 138 Spur, Suite 8, Jonesboro, GA 30236 Ph: (770) 473-0038 |
Mrs. April D Joseph, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 236 Arrowhead Blvd, Jonesboro, GA 30236 Phone: 770-478-9240 | |
Mrs. Mercy B Manga, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2400 Mt. Zion Parkway, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236 Phone: 770-603-3649 Fax: 770-962-2400 | |
Ms. Cristyle Lynn Morrison, ACNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8773 Channing Dr, Jonesboro, GA 30238 Phone: 678-262-7190 | |
Myrna Gacusan, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6911 Tara Blvd, Jonesboro, GA 30236 Phone: 770-477-8573 Fax: 770-477-8573 | |
Lashaunda Denise Clerizier, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1096 Brandon Hill Way, Jonesboro, GA 30238 Phone: 305-417-2885 | |
Reeves Henderson, A-GNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 750 Mount Zion Rd, Jonesboro, GA 30236 Phone: 404-602-0387 | |
Florence Eke Onuoha-emeka, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1979 Lake Chase Ln, Jonesboro, GA 30236 Phone: 470-728-9285 |