Akwasi Amponsah, D.O.

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

Sex

Male

Sole proprietor

Yes

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.

• Glendale Healthcare, LLC

  • Primary Care Clinic/Center
  • Hattiesburg, MS
  • NPI 1063188167
  NPD Authorized official

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 7, 2026.

{
    "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": []
}

• Ambulatory Cardiovascular Center of Mississippi
• Amedisys Mississippi, LLC
• Jessica Amoruso, ATC
• Ariyana Ashunti Amos
• Akwasi Amponsah, M.D.
• Senate Oluwakemi Amusu, MD
• Amy Grubbs, NP-C, PLLC
• Roger Anastasio, M.D.
• Anatomies, Inc.
• Gregg Anazia

• All providers in Hattiesburg, MS
• Independent Medical Examiner Chiropractor in Mississippi

• 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.