Organization Active NPI

James a Akins MD

  • Internal Medicine Physician
  • Scott Depot, WV
National Provider Identifier
1023207685
Registry record updated Jun 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
WV19666 Issued in WV
Legal business name
JAMES A AKINS MD
Practice address
111 Great Teays Blvd
Scott Depot, WV 25560-9548
Phone
(304) 757-1907
Fax
(304) 757-7991
NPI assigned
Oct 19, 2007
Last updated
Jun 8, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2015

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

Authorized official

Name
James A Akins, MDNPI 1285638684
Title
Owner
Phone
(304) 757-1907

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X WV19666 WV Primary

Addresses

Primary practice location

111 Great Teays Blvd
Scott Depot, WV 25560-9548

Mailing address

111 Great Teays Blvd
Scott Depot, WV 25560-9548
Phone (304) 757-1907

Other identifiers 1

IdentifierTypeStateIssuer
0047022000MedicaidWV

Other names 1

  • TEAYS INTERNAL MEDICINE Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100121000329 WV Part B Supplier - Clinic/Group Practice 0345382818 Receives reassigned benefits from 1 practitioner
Practice locations: Scott Depot, WV

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
51D1001879Teays Internal Medicine111 Great Teays Blvd, Scott Depot, WV 25560Certificate of waiverJul 22, 2028

National Provider Directory

National Provider Directory

Locations

111 Great Teays Blvd
Scott Depot, WV 25560
Phone (304) 757-1907

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": "1192752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433721600000",
    "number": "1023207685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 GREAT TEAYS BLVD",
            "city": "SCOTT DEPOT",
            "state": "WV",
            "postal_code": "255609548",
            "telephone_number": "304-757-1907",
            "fax_number": "304-757-7991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 GREAT TEAYS BLVD",
            "city": "SCOTT DEPOT",
            "state": "WV",
            "postal_code": "255609548",
            "telephone_number": "304-757-1907",
            "fax_number": "304-757-7991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES A AKINS MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-19",
        "last_updated": "2015-06-08",
        "status": "A",
        "authorized_official_last_name": "AKINS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-757-1907",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "WV19666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0047022000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TEAYS INTERNAL MEDICINE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Scott Depot, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; 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.