Mitra Poorak, M.D.

Surgery Physician · Greenwood, SC

Individual Active NPI

NPI number 1881072940

Practice location

160 Academy Ave
Greenwood, SC 29646-3808

Phone: (864) 725-4111

Open in Google Maps

NPI record

NPI: 1881072940
Entity type: Individual (Type 1)
Enumeration date: May 9, 2015
Last updated: August 5, 2025
Certified: August 5, 2025
Sole proprietor: No

Specialties & taxonomy codes

Taxonomy	Code	License	State
Surgery Physician Primary	`208600000X`	88999	SC
Surgery Physician	`208600000X`	008421	GA
Surgery Physician	`208600000X`	036-161760	IL

Mailing address

1444 Valley View Rd
Atlanta, GA 30338-4825

Phone: (404) 516-1024

Other 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

About Dr. Poorak

Mitra Poorak, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Surgery Physician (code 208600000X). The practice location is 160 Academy Ave, Greenwood, SC 29646-3808. The NPI number 1881072940 was assigned on May 9, 2015 and the record was last updated on August 5, 2025.

Dr. Poorak lists 3 licenses in the registry: #88999 (SC) for Surgery Physician; #008421 (GA) for Surgery Physician; #036-161760 (IL) for Surgery Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mitra Poorak, M.D.?

The NPI number is 1881072940.

What is the phone number of Dr. Poorak?

The phone number listed for the practice location is (864) 725-4111.

Where is Dr. Poorak located?

160 Academy Ave, Greenwood, SC 29646-3808.

What is the taxonomy code for Dr. Poorak?

The primary taxonomy code is 208600000X – Surgery Physician; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Surgery Physician providers in Greenwood

Premier Surgical Services, PA105 Vine Crest Ct
Greenwood Surgical Assoc.160 Academy Ave
Alexandre Wang160 Academy Ave
Self Medical Group160 Academy Avenue
Santosh Swaminathan160 Academy Ave
Edward Joseph Rapp II, MD105 Vinecrest Ct
Kevin Wright Carson, M.D.160 Academy Ave
John David Konsek, MD160 Academy Ave
Ryan Joseph Bolt, DO160 Academy Ave
Jeffrey Bernard Thomas, M.D.160 Academy Ave
Francis Gregory Mappin, M.D.303 W Alexander Ave
Self Medical Group160 Academy Ave

All Surgery Physician providers in Greenwood, SC →