Organization Active NPI

Akachi Primary & Urgent Care, LLC

  • Primary Care Clinic/Center
  • Greenbelt, MD
National Provider Identifier
1194358846
Registry record updated Mar 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
AKACHI PRIMARY & URGENT CARE, LLC
Practice address
8957 Edmonston Rd Ste P
Greenbelt, MD 20770-4048
Phone
(609) 225-1255
NPI assigned
Feb 20, 2020
Last updated
Mar 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2023

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

Authorized official

Name
Mercy Eseme
Title
Owner
Phone
(609) 225-1255

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

8957 Edmonston Rd Ste P
Greenbelt, MD 20770-4048

Mailing address

8957 Edmonston Rd Ste P
Greenbelt, MD 20770-4048

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200406003339 DC Part B Supplier - Clinic/Group Practice 7719316108 Receives reassigned benefits from 3 practitioners
Practice locations: Greenbelt, MD

National Provider Directory

National Provider Directory
Tax ID family
Akachi Primary and Urgent Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8957 Edmonston Rd
Ste P
Greenbelt, MD 20770
Phone (240) 936-5220

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20845/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 3

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": "1582156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678579200000",
    "number": "1194358846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8957 EDMONSTON RD STE P",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207704048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8957 EDMONSTON RD STE P",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207704048",
            "telephone_number": "609-225-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AKACHI PRIMARY & URGENT CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-20",
        "last_updated": "2023-03-12",
        "certification_date": "2023-03-12",
        "status": "A",
        "authorized_official_last_name": "ESEME",
        "authorized_official_first_name": "MERCY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-225-1255"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.