Individual provider Active NPI

Akwasi Amponsah, D.O.

  • Independent Medical Examiner Chiropractor
  • Hattiesburg, MS
National Provider Identifier
1760157671
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Medical Examiner ChiropractorTaxonomy code 111NI0013X
License
1420 Issued in MS
Practice address
2503 Glendale Ave
Hattiesburg, MS 39401-1073
Phone
(314) 435-6386
NPI assigned
Aug 12, 2021
Last updated
Apr 7, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 09370 MS
Independent Medical Examiner Chiropractor 111NI0013X 1420 MS Primary

Addresses

Primary practice location

2503 Glendale Ave
Hattiesburg, MS 39401-1073

Mailing address

84 Greenleaf Dr
Hattiesburg, MS 39402-8399
Phone (314) 435-6386

Other practice location 1

1006 Top St Ste H
Flowood, MS 39232-7643
Phone (601) 398-1489

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Hattiesburg

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)
Not enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
1420MSMDIndependent Medical Examiner Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Glendale Healthcare, LLC Current Accepting new patients

Locations

2503 Glendale Ave
Hattiesburg, MS 39401
Phone (601) 582-5805

Organizations & group practices 3

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": "1628726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1760157671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 GREENLEAF DR",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394028399",
            "telephone_number": "314-435-6386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2503 GLENDALE AVE",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394011073",
            "telephone_number": "314-435-6386"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1006 Top St Ste H",
            "address_purpose": "LOCATION",
            "city": "Flowood",
            "state": "MS",
            "postal_code": "392327643",
            "country_code": "US",
            "telephone_number": "601-398-1489",
            "fax_number": "601-398-1489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMPONSAH",
        "first_name": "AKWASI",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-12",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "09370",
            "primary": false
        },
        {
            "code": "111NI0013X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "MS",
            "license": "1420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Hattiesburg",
            "affiliation": "N",
            "address_1": "2503 Glendale Ave",
            "city": "Hattiesburg",
            "state": "MS",
            "country_code": "US",
            "postal_code": "394011073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; 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.