Organization Active NPI

Akins Medical Clinic, PC

  • Internal Medicine Physician
  • Gadsden, AL
National Provider Identifier
1003824236
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
18810 Issued in AL
Legal business name
AKINS MEDICAL CLINIC, PC
Practice address
200 S 3Rd St
Gadsden, AL 35901-4210
Phone
(256) 543-3072
Fax
(256) 543-3016
NPI assigned
Aug 3, 2006
Last updated
Aug 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Olajide Morakinyo Akinsanya, M.D.NPI 1477695088
Title
Doctor
Phone
(256) 543-3072

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 18810 AL Primary

Addresses

Primary practice location

200 S 3Rd St
Gadsden, AL 35901-4210

Mailing address

PO Box 629
Gadsden, AL 35902-0629
Phone (256) 543-3072

Other identifiers 1

IdentifierTypeStateIssuer
000008431MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101026000422 AL Part B Supplier - Clinic/Group Practice 5698968311 Receives reassigned benefits from 1 practitioner
Practice locations: Gadsden, AL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D0959821Akins Medical Clinic PC200 South 3Rd Street, Gadsden, AL 35901Certificate of waiverApr 20, 2027

National Provider Directory

National Provider Directory

Locations

200 S 3rd St
Gadsden, AL 35901
Phone (256) 543-3072

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723161600000",
    "number": "1003824236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 629",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359020629",
            "telephone_number": "256-543-3072",
            "fax_number": "256-543-3016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S 3RD ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359014210",
            "telephone_number": "256-543-3072",
            "fax_number": "256-543-3016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AKINS MEDICAL CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A",
        "authorized_official_last_name": "AKINSANYA",
        "authorized_official_first_name": "OLAJIDE",
        "authorized_official_middle_name": "MORAKINYO",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "256-543-3072",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "18810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000008431",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gadsden, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.