Akachi Primary & Urgent Care, LLC

Organization Active NPI Primary Care Clinic/Center · Greenbelt, MD

NPI 1194358846 · NPPES record last updated Mar 12, 2023

Key facts

NPI
1194358846
Entity type
Organization (NPI type 2)
Primary specialty
Primary Care Clinic/Center 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
Organization subpart
No

Authorized official

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

Corporate family (same tax ID) 1

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

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in DC

Medicare enrollment records

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

Tax ID family
Akachi Primary and Urgent Care (2 organizations share this tax ID)

Locations

8957 Edmonston Rd
Greenbelt, MD 20770
Phone (240) 533-6657

Interoperability endpoints

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Yes
Family Nurse Practitioner
Group: 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

Other providers in Greenbelt, MD

All providers in Greenbelt, MD · Primary Care Clinic/Center in Maryland

Sources for this page

Verify at the official NPI Registry.