GEMMA PORSUELO-BANGSAL NP
NPI 1407874472
Internal Medicine - Hospice and Palliative Medicine in Duluth, GA

Q: What is Gemma Porsuelo-bangsal's NPI number?

The NPI number for Gemma Porsuelo-bangsal is 1407874472. It was assigned to this individual provider in the NPPES registry on July 18, 2006. The provider is also known as Gemma Porsuelo.

Q: What is Gemma Porsuelo-bangsal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207RH0002X.

Active since July 18, 2006PECOS EnrolledAccepts Medicare Assignment

3650 STEVE REYNOLDS BLVD, DULUTH, GA 30096(770) 931-6318 Get Directions Write a Review

NPPES record last updated: March 14, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 14, 2025, Feb 7, 2025, Dec 6, 2024 and 2 more (5 updates tracked since 2021).

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About Gemma Porsuelo-bangsal Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GEMMA PORSUELO-BANGSAL NP (NPI 1407874472) is an individual hospice and palliative medicine provider in Duluth, Georgia, licensed in Georgia (RN333925) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1407874472

Entity TypeIndividualFemale

Primary Taxonomy207RH0002X

Provider Legal NameGEMMA PORSUELO-BANGSALCredential: NP

Location Address3650 STEVE REYNOLDS BLVDDuluth, GA 30096-4506

Mailing Address3650 Steve Reynolds BlvdDuluth, GA 30096-4506 · (770) 931-6318

Phone(770) 931-6318

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateJuly 18, 2006

Last NPPES UpdateMarch 14, 20255 updates tracked since enumeration

NPPES CertifiedMarch 14, 2025

✔ NPI 1407874472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RH0002X

License✔ Licensed in GA · RN333925

Definition

An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.

3650 STEVE REYNOLDS BLVD, Duluth, GA 30096

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Other Names 1

Other Name (5)Gemma Porsuelo

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Gemma Porsuelo-bangsal Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971530510

PECOS Enrollment IDI20250404000237

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Gemma Porsuelo-bangsal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Southeast Permanente Medical Group

15 mi

Internal Medicine

3495 PIEDMONT ROAD NE, NINE PIEDMONT CENTER
Atlanta, GA 30305

Reassigned Medicare billing, Georgia enrollment
1,389 clinicians in this Medicare group

NPI 1245266956 (404) 364-3821

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DANIEL CRAIG GRIZZLE M.D.

Family Medicine

3650 STEVE REYNOLDS BLVD, KAISER PERMANENTE GWINNETT MEDICAL CENTER
DULUTH, GA 30096

Gwinnett County (770) 931-6220

SHAWNAY NICOLE MAZELL M.D.

Psychiatry & Neurology (Neurology)

3650 STEVE REYNOLDS BLVD
DULUTH, GA 30096

Gwinnett County (678) 549-6257

PATRICIA BEATRIZ MASSO MALDONADO AUD

Audiologist

3650 STEVE REYNOLDS BLVD
DULUTH, GA 30096

Gwinnett County (404) 365-0966

MS. MICHELLE S BERKOWITZ CNM

Midwife

3650 STEVE REYNOLDS BLVD, DEPARTMENT OF OBSTETRICS & GYNECOLOGY
DULUTH, GA 30096

Gwinnett County (770) 931-6110

SARA WETZSTEIN NETTER MD

Ophthalmology (Glaucoma Specialist)

3650 STEVE REYNOLDS BLVD
DULUTH, GA 30096

Gwinnett County (404) 365-0966

LINDA H REMLINGER CNP

Pediatrics

3650 STEVE REYNOLDS BLVD, PEDIATRICS HEALTH CARE TEAM A
DULUTH, GA 30096

Gwinnett County (770) 931-6012

DR. TERI L LAURENTI PHARM.D.

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)

3650 STEVE REYNOLDS BLVD
DULUTH, GA 30096

Gwinnett County (770) 931-6176

KELLEY WAGES STARNES CNM

Midwife

3650 STEVE REYNOLDS BLVD, KAISER PERMANENTE GWINNETT MEDICAL CENTER
DULUTH, GA 30096

Gwinnett County (770) 931-6110

LESLIE JEAN QUACKENBUSH LCSW

Social Worker (Clinical)

3650 STEVE REYNOLDS BLVD, GWINNETT COMPREHENSIVE MEDICAL CENTER
DULUTH, GA 30096

Gwinnett County (919) 764-2000

MS. REGINA CANTY NP

Clinical Nurse Specialist (Family Health)

3650 STEVE REYNOLDS BLVD, KAISER PERMANENTE GWINNETT MEDICAL OFFICE
DULUTH, GA 30096

Gwinnett County (770) 931-6012

MRS. NOSHIN NAJAFI MD

Family Medicine

3650 STEVE REYNOLDS BLVD, KP MEDICAL CENTER AT GWINNETT
DULUTH, GA 30096

Gwinnett County (770) 931-6220

MIRIAM ABOUELNASR GOMES PA-C

Physician Assistant

3650 STEVE REYNOLDS BLVD
DULUTH, GA 30096

Gwinnett County (404) 365-0966

MARTIN C ETTINGER MD

Internal Medicine

3650 STEVE REYNOLDS BLVD, INTERNAL MEDICINE HEALTH CARE TEAM C
DULUTH, GA 30096

Gwinnett County (770) 931-6012

VIVIAN M ALVAREZ CNM

Advanced Practice Midwife

3650 STEVE REYNOLDS BLVD, DEPARTMENT OF OBSTETRICS & GYNECOLOGY
DULUTH, GA 30096

Gwinnett County (770) 931-6012

DR. LEWIN GO CHUACHIACO MD

Internal Medicine

3650 STEVE REYNOLDS BLVD, DEPT OF INT MED HCTC KAISER PERMANENTE MEDICAL CENTER A
DULUTH, GA 30096

Gwinnett County (770) 931-6210

KAISER FOUNDATION HEALTH PLAN OF GEORGIA INC.

Clinical Medical Laboratory

3650 STEVE REYNOLDS BLVD
DULUTH, GA 30096

Gwinnett County (770) 931-6114

SCOTT G PUGEL MD

Pediatrics

3650 STEVE REYNOLDS BLVD, PEDIATRICS HEALTH CARE TEAM A
DULUTH, GA 30096

Gwinnett County (770) 931-6012

DR. DEMETRIA M FRANCIS M.D.

Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)

3650 STEVE REYNOLDS BLVD, KAISER PERMANENTE GWINNETT MEDICAL CENTER
DULUTH, GA 30096

Gwinnett County (770) 931-6220

DR. PHU B THAI MD

Internal Medicine

3650 STEVE REYNOLDS BLVD, GWINNETT MEDICAL CENTER DEPARTMENT OF INTERNAL MEDICINE
DULUTH, GA 30096

Gwinnett County (770) 931-6012

LORENA J GARCIA-DIAZ CNM

Advanced Practice Midwife

3650 STEVE REYNOLDS BLVD
DULUTH, GA 30096

Gwinnett County (770) 931-6110

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gemma Porsuelo-bangsal's NPI number?

The NPI number for Gemma Porsuelo-bangsal is 1407874472. It was assigned to this individual provider in the NPPES registry on July 18, 2006. The provider is also known as Gemma Porsuelo.

Where is Gemma Porsuelo-bangsal located?

Gemma Porsuelo-bangsal practices at 3650 Steve Reynolds Blvd, Duluth, GA 30096. The listed phone number is (770) 931-6318.

What is Gemma Porsuelo-bangsal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207RH0002X.

Is Gemma Porsuelo-bangsal enrolled in Medicare?

Yes. Gemma Porsuelo-bangsal is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Gemma Porsuelo-bangsal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gemma Porsuelo-bangsal reassigns Medicare benefits to The Southeast Permanente Medical Group (Atlanta, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gemma Porsuelo-bangsal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Gemma Porsuelo-bangsal was last updated on March 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.