Individual provider Active NPI

Nana Akuoko, PA

  • Physician Assistant
  • Garner, NC
National Provider Identifier
1306204870
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
06924 Issued in NC
Practice address
5156 NC-42
Garner, NC 27529
Phone
(919) 329-5000
NPI assigned
Jan 29, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 06924 NC Primary
Physician Assistant 363A00000X NY
Physician Assistant 363A00000X 019481 NY

Addresses

Primary practice location

5156 NC-42
Garner, NC 27529

Mailing address

5156 NC Highway 42 W
Garner, NC 27529-8417
Phone (919) 329-5000

Other identifiers 1

IdentifierTypeStateIssuer
04397279MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160412001437 NY Practitioner - Physician Assistant 0446558266 Reassigns benefits to 3 organizations
I20180315001682 NC Practitioner - Physician Assistant 0446558266 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fastmed PC 174 clinicians

Practice addresses (Care Compare)

100 Cornerstone Dr
Cary, NC 27519-8453
Phone (919) 650-3660

11491 Clayton Blvd
Clayton, NC 27520-2207
Phone (919) 560-2484

11491 US 70 Business Hwy W
Clayton, NC 27520-2207
Phone (919) 550-2484

1261 Julian Allsbrk Hwy
Roanoke Rapids, NC 27870-5127
Phone (252) 537-5600

150 Francam Dr
Suite 120
Fayetteville, NC 28311-4500
Phone (910) 487-1100

2001 Sunset Ave
Rocky Mount, NC 27804-2523
Phone (252) 458-2508

212 N Spence Ave
Goldsboro, NC 27534-4318
Phone (919) 778-0851

2503 Forest Hills Rd W
Suite B
Wilson, NC 27893-3392
Phone (252) 991-0555

2908 N Herritage St
Kinston, NC 28501-1580
Phone (252) 523-3111

315 Greenville Blvd SE
Suite 100
Greenville, NC 27858-5733
Phone (252) 917-5621

5156 Veterans Pkwy
Garner, NC 27529-8417
Phone (919) 329-5000

6500 Creedmoor Rd
Suite 110
Raleigh, NC 27613-3698
Phone (919) 825-4000

7010 NC Hwy 751
Durham, NC 27707-5733
Phone (919) 313-3900

817 E Gannon Ave
Suite 104
Zebulon, NC 27597-8940
Phone (919) 375-1975

903 S Beckford Dr
Henderson, NC 27536-5908
Phone (252) 654-1020

910 N Madison Blvd
Suite B
Roxboro, NC 27573-4573
Phone (336) 592-2230

Merit-based Incentive Payment System (MIPS)

Final score
83.06 of 100Reported as group
Quality
61.01
Promoting interoperability
100
Improvement activities
40
Cost
82.52

Merit-based Incentive Payment System (MIPS)

Final score
74.09 of 100Reported as group
Quality
65.78
Improvement activities
40
Cost
76.37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
06924NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Saratoga Hospital CurrentSince May 1, 2016 Accepting new patients
Saratoga Hospital CurrentSince May 1, 2016 Accepting new patients
Orthopaedic Specialists of North Carolina, P.a. CurrentSince Jan 31, 2022 Accepting new patients
Fastmed Primary Care, P.C. Past Accepting new patients
Fastmed Urgent Care PC Past Accepting new patients

Locations

11200 Governor Manly Way
Ste 309
Raleigh, NC 27614
Phone 9195629410247

1936 Golden Spur Ln
Wendell, NC 27591

100 Park St
Glens Falls, NY 12801
Phone (518) 926-5924

211 Church St
Saratoga Springs, NY 12866
Phone (518) 583-8461

Organizations & group practices 10

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": "1454025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1306204870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5156 NC HIGHWAY 42 W",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275298417",
            "telephone_number": "919-329-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5156 NC-42",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "27529",
            "telephone_number": "919-329-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKUOKO",
        "first_name": "NANA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-29",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "06924",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "019481",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04397279",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garner, NC

Sources for this page

Verify at the official NPI Registry.