Individual provider Active NPI

Perry Wesley Akins

  • Clinical Social Worker
  • Eufaula, AL
National Provider Identifier
1336739507
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3834C Issued in AL
Practice address
746 N Randolph Ave
Eufaula, AL 36027-1212
Phone
(205) 876-9182
NPI assigned
Jan 21, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 3834C AL Primary

Addresses

Primary practice location

746 N Randolph Ave
Eufaula, AL 36027-1212

Mailing address

746 N Randolph Ave
Eufaula, AL 36027-1212
Phone (205) 876-9182

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3834CALMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1611187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1336739507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "746 N RANDOLPH AVE",
            "city": "EUFAULA",
            "state": "AL",
            "postal_code": "360271212",
            "telephone_number": "205-876-9182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "746 N RANDOLPH AVE",
            "city": "EUFAULA",
            "state": "AL",
            "postal_code": "360271212",
            "telephone_number": "205-876-9182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKINS",
        "first_name": "PERRY",
        "middle_name": "WESLEY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-21",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "3834C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eufaula, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.