P Praxis·MD
● Active Type 1 · Individual

DR. Portia Siwawa, MD

Surgery·Conyers, GA· NPI 1215220488 · Enumerated 2011 · 15 years on NPI
Siwawa is 1 of 13 surgery providers in Conyers and 1 of 1389 in Georgia.
NPI age
15 years
Enumerated 2011-05-22
Primary specialty
Surgery
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2026-02-06
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1389 active surgery providers in Georgia.

NPI age
15 years
↓ 2 yr below median (17 yr)
State licenses
1 state
14% of peers hold multiple states
Subspecialties
0
28% of peers hold subspecialties

NPI lifetime · 2011 → 2026

2011-05Enumerated in NPPES
2011 2026

Where they practice

Practice location
1301 Sigman Rd Ne Ste 200
Conyers, GA 300123819
📞 6788063340
Mailing address
1301 Sigman Rd Ne Ste 200
Conyers, GA 300123819
📞 6788063340

Specialties

  • Surgery Primary
    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...
    GA license #82971 taxonomy 208600000X

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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