Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Portia Siwawa, MD

Individual provider Surgery Physician · NPI 1215220488

Dr. Portia Siwawa, MD is a General Surgery in Conyers, Georgia. Qualified in 2005, 21 years ago. Practices with Southern Regional Physicians Management Group, LLC, a 28-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
21
Licensed in
GA
In the registry since
2011
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1301 Sigman Rd NE Ste 200
Conyers, GA 30012-3819
Phone: (678) 806-3340
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 82971 (GA)

Record details

NPI number1215220488
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 22, 2011
Last updated in NPPESFebruary 6, 2026
Certification dateFebruary 6, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Southern Regional Physicians Management Group, Llc — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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