MITRA POORAK M.D. – NPI #1881072940
Surgery

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Health Care Provider Taxonomy Code for Surgery

MITRA POORAK is a surgeon located in GREENWOOD, SC. NPPES has assigned the NPI number 1881072940 to MITRA POORAK on May 09, 2015. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 208600000X from the Health Care Provider Taxonomy code set, which is classified as Surgery.

The NPI profile was last updated on Aug 05, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MITRA POORAK below.

NPI Profile for
MITRA POORAK

NPI Number
1881072940
Enumeration Date

(more than 11 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
MITRA POORAK
Credentials
M.D.
Primary location
160 ACADEMY AVE
GREENWOOD, SC 29646-3808
Phone: (864) 725-4111 Fax:
2 Other location(s):
1120 15th St
Augusta, GA 30912-0004
Phone: (706) 721-7005
1301 Sigman Rd NE Ste 180
Conyers, GA 30012-3924
Phone: (770) 922-4024
Mailing address
1444 VALLEY VIEW RD
ATLANTA, GA 30338-4825
Phone: (404) 516-1024 Fax:
Sole Proprietor
No
Updated
Certification Date
Aug 05, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208600000X
- Surgery (Primary)		 GA 008421

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE - Graduated 2015
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
MITRA POORAK is affiliated with the following medical group(s):
  • HOSPITAL
    • OSF SACRED HEART MEDICAL CENTER
      812 N LOGAN AVE
      DANVILLE, IL 61832
    • PIEDMONT ROCKDALE HOSPITAL
      1412 MILSTEAD AVENUE, NE
      CONYERS, GA 30012

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