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MS. SURRELL PORTER
NPI 1467827402
Nurse Practitioner - Family in Jonesboro, GA

Active since December 02, 2015PECOS Enrolled
1287 GEORGIA HIGHWAY 138 SPUR, SUITE 8, JONESBORO, GA 30236(770) 473-0038(770) 471-4290 Get Directions Write a Review

NPPES record last updated: January 25, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 25, 2022, Dec 2, 2015 (2 updates tracked since 2015).

About Ms. Surrell Porter NPPES

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

MS. SURRELL PORTER (NPI 1467827402) is an individual family provider in Jonesboro, Georgia, licensed in Georgia (RN181538) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467827402
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. SURRELL PORTER
Location Address1287 GEORGIA HIGHWAY 138 SPUR, SUITE 8Jonesboro, GA 30236
Mailing Address1287 Georgia Highway 138 Spur, Suite 8Jonesboro, GA 30236 · (770) 473-0038 · Fax (770) 471-4290
Phone(770) 473-0038
Fax(770) 471-4290
Sole ProprietorNo
Enumeration DateDecember 2, 2015
Last NPPES UpdateJanuary 25, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 25, 2022
✔ NPI 1467827402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN181538
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License RN181538 (GA)
1287 GEORGIA HIGHWAY 138 SPUR, Jonesboro, GA 30236
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Surrell Porter is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Surrell Porter reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Georgia Hospitalists Group, LLC
5.2 mi
Hospitalist
11 UPPER RIVERDALE RD SW
Riverdale, GA 30274
  • Reassigned Medicare billing, Georgia enrollment
  • 160 clinicians in this Medicare group
NPI 1033576376 (770) 991-8000
The Southeast Permanente Medical Group
23 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30236 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Surrell Porter's NPI number?

The NPI number for Surrell Porter is 1467827402. It was assigned to this individual provider in the NPPES registry on December 2, 2015.

Where is Surrell Porter located?

Surrell Porter practices at 1287 Georgia Highway 138 Spur Suite 8, Jonesboro, GA 30236. The listed phone number is (770) 473-0038.

What is Surrell Porter's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Surrell Porter enrolled in Medicare?

Yes. Surrell Porter is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Surrell Porter's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Surrell Porter reassigns Medicare benefits to 2 organizations: Georgia Hospitalists Group, LLC (Riverdale, GA) and The Southeast Permanente Medical Group (Atlanta, GA). Each 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 Surrell Porter'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 Surrell Porter was last updated on January 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.