Ms Surrell Porter, in Jonesboro, GA - Medicare Nurse Practitioner

Ms Surrell Porter, is a medicare enrolled "Nurse Practitioner - Family" in Jonesboro, Georgia. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice The Southeast Permanente Medical Group and her current practice location is 1287 Georgia Highway 138 Spur, Suite 8, Jonesboro, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 473-0038.

Ms Surrell Porter is licensed to practice in Georgia (license number RN181538) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1467827402.

Contact Information

	Ms Surrell Porter,
	1287 Georgia Highway 138 Spur, Suite 8, Jonesboro, GA 30236
	(770) 473-0038
	(770) 471-4290

Map and Direction

Provider's Profile

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.

Medical Education and Training:

Ms Surrell Porter graduated from nursing school in 2015

NPI Data:

NPI Number: 1467827402
Provider Enumeration Date: 12/02/2015
Last Update Date: 01/25/2022

Medicare PECOS Information:

PECOS PAC ID: 2961798657
Enrollment ID: I20160906002519

Medical Identifiers

Medical identifiers for Ms Surrell Porter such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467827402	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	RN181538 (Georgia)	Secondary
363LF0000X	Nurse Practitioner - Family	RN181538 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Southeast Permanente Medical Group	6204829013	660

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Surrell Porter allows following entities to bill medicare on her behalf.

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

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Surrell Porter is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

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

Reviews and Comments

Nurse Practitioner Nurses in Jonesboro, GA

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
Mrs. Khayriyyah Salaam, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Wellspring Medical/mount Zion Urgent Care, 2759 Mount Zion Parkway, Jonesboro, GA 30236 Phone: 678-289-8338 Fax: 770-603-0515
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

Ms Surrell Porter, - Medicare Nurse Practitioner in Jonesboro, GA