Active NPI
Akins Medical Clinic, PC
- Internal Medicine Physician
- Gadsden, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 18810
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000008431 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 01D0959821 | Akins Medical Clinic PC | Certificate of waiver | Apr 20, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Internal Medicine Physician
- Gadsden, AL
- NPI 1477695088
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.