Individual provider Active NPI

Akua Owusu, MD

  • Psychiatry Physician
  • Jacksonville, FL
National Provider Identifier
1104962257
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME67605 Issued in FL
Practice address
2055 Reyko Rd Ste 100
Jacksonville, FL 32207-2828
Phone
(239) 690-6906
NPI assigned
Jan 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME67605 FL Primary

Addresses

Primary practice location

2055 Reyko Rd Ste 100
Jacksonville, FL 32207-2828

Mailing address

2394 Foxhaven Dr W
Jacksonville, FL 32224-2010
Phone (904) 887-3382

Other practice location 1

8540 Baycenter Rd
Jacksonville, FL 32256-7420
Phone (904) 448-1933

Other practice location 2

463142 Sr 200
Yulee, FL 32097-5554
Phone (904) 225-8280

Other identifiers 3

IdentifierTypeStateIssuer
104250OtherFLUNITED BEHAVIORAL HEALTH
378045700MedicaidFL
27808OtherFLBLUE CROSS & BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110315000857 FL Practitioner - Psychiatry 3577745330 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dna Comprehensive Therapy Services LLCGroup PAC ID 2860619632, 446 clinicians

Practice addresses (Care Compare)

2055 Reyko Rd
Suite 100
Jacksonville, FL 32207-2822
Phone (904) 648-8200

Merit-based Incentive Payment System (MIPS)

Final score
87.43 of 100Reported as group
Quality
74.02
Promoting interoperability
100
Improvement activities
40
Cost
77.26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME67605FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nassau County Mental Health Alcohol & Drug Abuse Council Inc CurrentSince Feb 1, 2011 Accepting new patients
The LJD Jewish Family & Community Services, Inc CurrentSince Aug 1, 2022 Accepting new patients
Jewish Family and Community Services CurrentSince Oct 29, 2023 Accepting new patients
Bonita Springs Retirement Village, Inc. CurrentSince Sep 5, 2024 Accepting new patients
Dna Comprehensive Therapy Services, LLC Psychiatry CurrentSince Sep 5, 2024 Accepting new patients
Mental Health Center of Jacksonville, Inc. Past Accepting new patients
Inspire to Rise, Inc. Past Accepting new patients
Ap Psychiatric & Counseling Services, PA Psychiatry Past Accepting new patients

Locations

4310 Metro Pkwy
Ste 205
Fort Myers, FL 33916

8540 Baycenter Rd
Jacksonville, FL 32256
Phone (904) 394-5703

2055 Reyko Rd
Ste 100
Jacksonville, FL 32207
Phone (904) 648-8200

3191 Harbor Blvd
Ste A
Pt Charlotte, FL 33952
Phone (941) 766-9555

5825 Argerian Dr
Ste 101
Wesley Chapel, FL 33545
Phone (813) 687-4870

463142 State Road 200
Yulee, FL 32097
Phone (904) 225-8280

Interoperability endpoints

  • Direct secure messaging: akua.owusu.1@13142.direct.athenahealth.com

Organizations & group practices 8

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": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1104962257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2394 FOXHAVEN DR W",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322242010",
            "telephone_number": "904-887-3382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 REYKO RD STE 100",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322072828",
            "telephone_number": "239-690-6906"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8540 Baycenter Rd",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322567420",
            "country_code": "US",
            "telephone_number": "904-448-1933",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "463142 SR 200",
            "address_purpose": "LOCATION",
            "city": "Yulee",
            "state": "FL",
            "postal_code": "320975554",
            "country_code": "US",
            "telephone_number": "904-225-8280",
            "fax_number": "904-225-8232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OWUSU",
        "first_name": "AKUA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME67605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "104250",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "378045700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "27808",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.