Individual provider Active NPI

Anota Akofu, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Carrollton, GA
National Provider Identifier
1215376140
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
98666 Issued in GA
Practice address
905 Dixie St
Carrollton, GA 30117-4408
Phone
(678) 796-0681
Fax
(770) 836-8477
NPI assigned
Jun 25, 2013
Last updated
Oct 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 98666 GA Primary
Internal Medicine Physician 207R00000X 125063850 IL

Addresses

Primary practice location

905 Dixie St
Carrollton, GA 30117-4408

Mailing address

905 Dixie St
Carrollton, GA 30117-4408
Phone (678) 796-0681

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160829000580 IL Practitioner - Internal Medicine 9537301395 Reassigns benefits to 3 organizations
I20240222000512 GA Practitioner - EndocrinologyPractitioner - Internal Medicine 9537301395 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tanner Medical Group IncGroup PAC ID 2769536143, 120 clinicians

Practice addresses (Care Compare)

200 Allen Memorial Dr
Bremen, GA 30110-2012
Phone (770) 812-9666

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Proctor Health Systems Internal Medicine CurrentSince Aug 29, 2016 Accepting new patients
Methodist Medical Center of Illinois CurrentSince Aug 29, 2016 Accepting new patients
Methodist Medical Center of Illinois CurrentSince Aug 29, 2016 Accepting new patients
Proctor Health Systems CurrentSince Aug 29, 2016 Accepting new patients
Tanner Medical Group Inc Internal Medicine CurrentSince Apr 12, 2024 Accepting new patients
Pekin Prohealth Inc Internal Medicine CurrentSince Nov 4, 2020 Accepting new patients
Methodist Medical Center of Illinois Current Accepting new patients

Locations

200 Allen Memorial Dr
Bremen, GA 30110
Phone (770) 537-5851

100 Greenway Blvd
Fl 2
Carrollton, GA 30117
Phone (770) 838-8710

690 Dallas Hwy
Ste 207A
Villa Rica, GA 30180
Phone (770) 456-3646

1506 W Garfield Ave
Bartonville, IL 61607
Phone (309) 697-2416

600 S 13th St
Pekin, IL 61554
Phone (309) 347-1151

120 NE Glen Oak Ave
Ste 400
Peoria, IL 61603
Phone (309) 671-3519

221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281

5401 N Knoxville Ave
Ste 400
Peoria, IL 61614
Phone (309) 691-6610

815 Main St
Ste A
Peoria, IL 61602
Phone (309) 671-3000

815 Main St
Ste A1
Peoria, IL 61602

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1215376140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 DIXIE ST",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301174408",
            "telephone_number": "678-796-0681",
            "fax_number": "770-836-8477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 DIXIE ST",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301174408",
            "telephone_number": "678-796-0681",
            "fax_number": "770-836-8477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKOFU",
        "first_name": "ANOTA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-25",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "GA",
            "license": "98666",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125063850",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, GA

Sources for this page

Verify at the official NPI Registry.