Dr Portia Siwawa, MD in Conyers, GA - Medicare General Surgery

Dr Portia Siwawa, MD is a medicare enrolled "Surgery" physician in Conyers, Georgia. She graduated from medical school in 2005 and has 21 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice Southern Regional Physicians Management Group, Llc and her current practice location is 1301 Sigman Rd Ne Ste 200, Conyers, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 806-3340.

Dr Portia Siwawa is licensed to practice in Georgia (license number 82971) 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 1215220488.

Contact Information

	Dr Portia Siwawa, MD
	1301 Sigman Rd Ne Ste 200, Conyers, GA 30012-3819
	(678) 806-3340
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Portia Siwawa
Gender	Female
Speciality	General Surgery
Experience	21 Years
Location	1301 Sigman Rd Ne Ste 200, Conyers, 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:

Dr Portia Siwawa graduated from medical school in 2005

NPI Data:

NPI Number: 1215220488
Provider Enumeration Date: 05/22/2011
Last Update Date: 02/06/2026

Medicare PECOS Information:

PECOS PAC ID: 4183895758
Enrollment ID: I20190729003662

Medical Identifiers

Medical identifiers for Dr Portia Siwawa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215220488	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	82971 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Southern Regional Medical Center	Riverdale, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern Regional Physicians Management Group, Llc	9032491956	22

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. Dr Portia Siwawa allows following entities to bill medicare on her behalf.

Entity Name	Southern Regional Physicians Management Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043677271 PECOS PAC ID: 9032491956 Enrollment ID: O20170127002483

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. Dr Portia Siwawa 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
Dr Portia Siwawa, MD 1301 Sigman Rd Ne Ste 200, Conyers, GA 30012-3819 Ph: (678) 806-3340	Dr Portia Siwawa, MD 1301 Sigman Rd Ne Ste 200, Conyers, GA 30012-3819 Ph: (678) 806-3340

Reviews and Comments

Surgery Doctors in Conyers, GA

Andrew S Harper, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1364 Wellbrook Cir Ne, Conyers, GA 30012 Phone: 770-922-4024 Fax: 770-761-7179
Dr. Brett Walker, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1301 Sigman Rd Ne Ste 200, Conyers, GA 30012 Phone: 678-806-3330 Fax: 404-609-5300
Donald Maynard, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1612b Milstead Rd Ne, Conyers, GA 30012 Phone: 770-602-1292 Fax: 770-602-1296
Sang Wook Lee, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1301 Sigman Rd Ne Ste 180, Conyers, GA 30012 Phone: 770-922-4024
George Isshak, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1372 Wellbrook Cir Ne, Conyers, GA 30012 Phone: 770-922-4024 Fax: 770-922-8143
Carol Angel, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1301 Sigman Rd Ne Ste 190, Conyers, GA 30012 Phone: 678-806-3566

Dr Portia Siwawa, MD - Medicare General Surgery in Conyers, GA