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

Mitra Poorak, MD

Individual provider Surgery Physician · NPI 1881072940

Mitra Poorak, MD is a General Surgery in Greenwood, South Carolina. Graduated from Medical College of Georgia School of Medicine in 2015, 11 years ago. Practices with Self Medical Group, a 396-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Georgia, Illinois and South Carolina.

Years since qualifying
11
Trained at
Medical College of Georgia School of Medicine
Licensed in
GA, IL, SC
In the registry since
2015
Specialties on file
3
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

160 Academy Ave
Greenwood, SC 29646-3808
Phone: (864) 725-4111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1120 15th St, Augusta, GA 30912-0004 — (706) 721-7005
  • 1301 Sigman Rd Ne Ste 180, Conyers, GA 30012-3924 — (770) 922-4024

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 88999 (SC)
Surgery Physician Taxonomy 208600000X · Licence 008421 (GA)
Surgery Physician Taxonomy 208600000X · Licence 036-161760 (IL)

Record details

NPI number1881072940
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 9, 2015
Last updated in NPPESAugust 5, 2025
Certification dateAugust 5, 2025

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolMEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice Self Medical Group — 396 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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