Individual provider Active NPI

Rush Emmett Akin Sr., M.D.

  • Internal Medicine Physician
  • Panama City, FL
National Provider Identifier
1124015730
Registry record updated Oct 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0028902 Issued in FL
Practice address
304 W 23Rd St
Panama City, FL 32405-4506
Phone
(850) 769-1462
Fax
(850) 769-9040
NPI assigned
Sep 29, 2005
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0028902FLMDInternal Medicine Physician

Interoperability endpoints

  • Direct secure messaging: rush.akin@hca5.eclinicaldirectplus.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME0028902 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

304 W 23Rd St
Panama City, FL 32405-4506

Mailing address

304 W 23Rd St
Panama City, FL 32405-4506
Phone (850) 769-1462

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
043495700MedicaidFL
110247828OtherFLRAILROAD MEDICARE

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 25, 2007.

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193270400000",
    "number": "1124015730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 W 23RD ST",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054506",
            "telephone_number": "850-769-1462",
            "fax_number": "850-769-9040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 W 23RD ST",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054506",
            "telephone_number": "850-769-1462",
            "fax_number": "850-769-9040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKIN",
        "first_name": "RUSH",
        "middle_name": "EMMETT",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-29",
        "last_updated": "2007-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0028902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "043495700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110247828",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.