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CATHERINE PORRAS MD
NPI 1689202830
Family Medicine in Lawrenceville, GA

Active since March 31, 2020PECOS EnrolledAccepts Medicare Assignment
665 DULUTH HWY STE 501, LAWRENCEVILLE, GA 30046(678) 312-0400 Get Directions Write a Review

NPPES record last updated: October 25, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 25, 2023, Mar 31, 2020 (2 updates tracked since 2020).

About Catherine Porras Md NPPES

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

CATHERINE PORRAS MD (NPI 1689202830) is an individual family medicine provider in Lawrenceville, Georgia, licensed in Georgia (97414) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital Duluth, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1689202830
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameCATHERINE PORRASCredential: MD
Location Address665 DULUTH HWY STE 501Lawrenceville, GA 30046-8709
Mailing Address240 Meeting House LnSouthampton, NY 11968-5009 · (631) 726-0409
Phone(678) 312-0400
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 31, 2020
Last NPPES UpdateOctober 25, 20232 updates tracked since enumeration
NPPES CertifiedOctober 25, 2023
✔ NPI 1689202830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 97414
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
665 DULUTH HWY STE 501, Lawrenceville, GA 30046
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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

Catherine Porras Md 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 ID3870949068
PECOS Enrollment IDI20231024003076
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 Catherine Porras reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gwinnett Hospital System Gme, LLC
0.5 mi
Family Medicine
1000 MEDICAL CENTER BLVD
Lawrenceville, GA 30046
  • Reassigned Medicare billing, Georgia enrollment
  • 41 clinicians in this Medicare group
NPI 1780076927 (855) 709-4535

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

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
46 services23 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
43 services40 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
25 services23 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northside Hospital Duluth

Acute Care Hospitals · Duluth, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110252
Location3620 Howell Ferry RoadDuluth, GA 30096 · Gwinnett County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30046 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.

Other Providers at the Same Location NPPES 16

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

TIK PAU M.D.
Family Medicine
665 DULUTH HWY STE 501
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-0400
MARIAM NEMATALLA ANTONIOS D.O.
Family Medicine
665 DULUTH HWY STE 501
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-0400
SHAHIL PATEL DO
Student in an Organized Health Care Education/Training Program
665 DULUTH HWY STE 501
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 341-0400
JULIA ROTH DO
Student in an Organized Health Care Education/Training Program
665 DULUTH HWY STE 501
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-0400
MUHAMMAD KAMRAN SIDDIQ DO
Student in an Organized Health Care Education/Training Program
665 DULUTH HWY STE 501
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-0400
DR. LEWAA SHOUJAA MD
Student in an Organized Health Care Education/Training Program
665 DULUTH HWY STE 501
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-0400
ALY SALEH DO
Student in an Organized Health Care Education/Training Program
665 DULUTH HWY STE 501
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-0400
FERUZA MUSTAFAYEVNA BEZGUNOVA
Student in an Organized Health Care Education/Training Program
665 DULUTH HWY STE 501
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 312-0491

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 Catherine Porras's NPI number?

The NPI number for Catherine Porras is 1689202830. It was assigned to this individual provider in the NPPES registry on March 31, 2020.

Where is Catherine Porras located?

Catherine Porras practices at 665 Duluth Hwy Ste 501, Lawrenceville, GA 30046. The listed phone number is (678) 312-0400.

What is Catherine Porras's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Catherine Porras enrolled in Medicare?

Yes. Catherine Porras 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 Catherine Porras's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Catherine Porras reassigns Medicare benefits to Gwinnett Hospital System Gme, LLC (Lawrenceville, 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 Catherine Porras's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Catherine Porras accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Catherine Porras as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Catherine Porras affiliated with any hospitals?

According to CMS data, Catherine Porras is affiliated with Northside Hospital Duluth.

When was this NPI record last updated?

The NPPES record for Catherine Porras was last updated on October 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.