Individual provider Active NPI

Akwasi Agyemang

  • Family Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1407203482
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.022658 Issued in OH
Practice address
1301 N High St
Columbus, OH 43201-2460
Phone
(614) 299-6600
Fax
(614) 421-3111
NPI assigned
May 19, 2016
Last updated
Aug 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.022658 OH Primary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X APRN.CNP.022658 OH
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X MA4767680 OH
Community Health Registered Nurse 163WC1500X RN.397389- OH

Addresses

Primary practice location

1301 N High St
Columbus, OH 43201-2460

Mailing address

1301 N High St
Columbus, OH 43201-2460
Phone (614) 299-6600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190311001901 OH Practitioner - Nurse Practitioner 8022357946 Reassigns benefits to 3 organizations
Practice locations: Columbus, OH

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4770 Indianola Ave
Suite 201
Columbus, OH 43214-1876
Phone (614) 725-6035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
RN.397389-OHMDCommunity Health Registered Nurse
APRN.CNP.022658OHMDPsychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Barrie Behavioral Health and Wellness, Inc CurrentSince Mar 1, 2023 Accepting new patients
Springway Medical and Addiction Treatment Center Addiction (Substance Use Disorder) CurrentSince Apr 28, 2020 Accepting new patients
Springway Medical and Addiction Treatment Center CurrentSince May 1, 2020 Accepting new patients
Signify Health, LLC CurrentSince Mar 1, 2022 Accepting new patients
Comfort Travel Current Accepting new patients
RX Edu CurrentSince Jul 1, 2021 Accepting new patients
Springway Medical and Addiction Treatment Center Past Accepting new patients

Locations

100 E Campus View Blvd
Ste 250
Columbus, OH 43235
Phone (267) 817-8902

1301 N High St
Columbus, OH 43201
Phone (614) 299-6600

175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902

1969 E Dublin Granville Rd
Columbus, OH 43229
Phone (614) 400-8823

270 S Grant Ave
Columbus, OH 43215
Phone (614) 221-3141

2700 E Dublin Granville Rd
Ste LL1
Columbus, OH 43231
Phone (614) 218-2766

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

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.

NPI Registry JSON

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

{
    "created_epoch": "1463616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1407203482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 N HIGH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432012460",
            "telephone_number": "614-299-6600",
            "fax_number": "614-421-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 N HIGH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432012460",
            "telephone_number": "614-299-6600",
            "fax_number": "614-421-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGYEMANG",
        "first_name": "AKWASI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-19",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.022658",
            "primary": true
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.022658",
            "primary": false
        },
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "MA4767680",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "OH",
            "license": "RN.397389-",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.