Individual provider Active NPI

Derene Ellen Akins, MD

  • Internal Medicine Physician
  • Memphis, TN
National Provider Identifier
1164530911
Registry record updated Aug 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD12731 Issued in TN
Practice address
6799 Great Oaks Rd
Suite 250
Memphis, TN 38138-2588
Phone
(901) 821-8300
Fax
(901) 259-9793
NPI assigned
Aug 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD12731 TN Primary

Addresses

Primary practice location

6799 Great Oaks Rd
Suite 250
Memphis, TN 38138-2588

Mailing address

6799 Great Oaks Rd
Suite 250
Memphis, TN 38138-2588
Phone (901) 821-8300

Other identifiers 3

IdentifierTypeStateIssuer
0128000OtherBLUE CROSS
3382217MedicaidTN
110049108OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20100615000389 TN Practitioner - Internal Medicine 7618007808 Reassigns benefits to 1 organization
Practice locations: Memphis, TN

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Consolidated Medical Practices of Memphis,PLLC Internal Medicine CurrentSince Jun 15, 2010 Accepting new patients

Locations

6799 Great Oaks Rd
Ste 250
Memphis, TN 38138
Phone (901) 261-0700

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IBHBDD

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312156800000",
    "number": "1164530911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6799 GREAT OAKS RD",
            "address_2": "SUITE 250",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381382588",
            "telephone_number": "901-821-8300",
            "fax_number": "901-259-9793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6799 GREAT OAKS RD",
            "address_2": "SUITE 250",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381382588",
            "telephone_number": "901-821-8300",
            "fax_number": "901-259-9793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKINS",
        "first_name": "DERENE",
        "middle_name": "ELLEN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2011-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD12731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0128000",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3382217",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110049108",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.