Active NPI
Francis K. Acquah, M.D.
- Anesthesiology Physician
- Jonesboro, GA
National Provider Identifier
1063402196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 38160
- Practice address
- 405 Arrowhead Blvd
Suite C
Jonesboro, GA 30236-1254 - Phone
- (770) 478-9877
- NPI assigned
- Oct 28, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 38160 | GA | Primary |
| Pain Medicine Physician | 208VP0000X | 38160 | GA |
Addresses
Primary practice location
405 Arrowhead Blvd
Suite C
Jonesboro, GA 30236-1254
Mailing address
405 Arrowhead Blvd
C
Jonesboro, GA 30236-1254
Phone (770) 478-9877
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 050030315 | Other | GA | RAILROAD MEDICARE |
| 00606889A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110207000115 | GA | Practitioner - Anesthesiology | 8820114366 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38160 | GA | MD | Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Axis Anesthesia Associates PC | Anesthesiology | Past | Accepting new patients |
Interoperability endpoints
- facquah@facquah.mdlogic.direct-ci.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361750400000",
"number": "1063402196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 ARROWHEAD BLVD",
"address_2": "C",
"city": "JONESBORO",
"state": "GA",
"postal_code": "302361254",
"telephone_number": "770-478-9877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 ARROWHEAD BLVD",
"address_2": "SUITE C",
"city": "JONESBORO",
"state": "GA",
"postal_code": "302361254",
"telephone_number": "770-478-9877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACQUAH",
"first_name": "FRANCIS",
"middle_name": "K.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-28",
"last_updated": "2013-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "GA",
"license": "38160",
"primary": true
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "GA",
"license": "38160",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "050030315",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00606889A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jonesboro, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.