Individual provider Active NPI

Mariam Akhtar, MD

  • Family Medicine Physician
  • Joplin, MO
National Provider Identifier
1780024596
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2018035258 Issued in MO
Practice address
3202 McIntosh Cir Ste 301
Joplin, MO 64804-3686
Phone
(417) 347-8430
NPI assigned
Jun 26, 2013
Last updated
Jun 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2018035258 MO Primary

Addresses

Primary practice location

3202 McIntosh Cir Ste 301
Joplin, MO 64804-3686

Mailing address

PO Box 3810
Joplin, MO 64803-3810
Phone (417) 347-4662

Other practice location 1

336 S Jefferson St
Neosho, MO 64850-1769
Phone (417) 455-4200

Other practice location 2

2467 Golden Camp Rd
Augusta, GA 30906-5515
Phone (067) 904-4407

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, MO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160725000414 GA Practitioner - Family Practice 2365685013 Reassigns benefits to 2 organizations
I20190109003219 MO Practitioner - Family Practice 2365685013 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neighborhood Improvement Project, IncGroup PAC ID 7315851078, shared by 25 NPIs, 68 clinicians

Practice addresses (Care Compare)

2467 Golden Camp Rd
Augusta, GA 30906-5515
Phone (706) 790-4440

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2018035258MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Au Medical Associates Inc CurrentSince Aug 1, 2016 Accepting new patients
Ozark Tri-County Health Care Consortium Current Accepting new patients
Au Medical Center, Inc Current Accepting new patients
Ozark Tri-County Health Care Consortium CurrentSince Nov 21, 2018 Accepting new patients
Neighborhood Improvement Project, Inc CurrentSince Jun 1, 2024 Accepting new patients
Neighborhood Improvement Project Inc Family Medicine CurrentSince Jun 1, 2024 Accepting new patients
Au Medical Associates Inc CurrentSince Aug 1, 2016 Accepting new patients
Ozark Tri-County Health Care Consortium CurrentSince Nov 21, 2018 Accepting new patients
Neighborhood Improvement Project, Inc. Past Accepting new patients

Locations

1120 15th St
Augusta, GA 30912
Phone (706) 721-3873

1299 Interstate Pkwy
Augusta, GA 30909
Phone (706) 863-2246

1499 Walton Way
Ste 1400
Augusta, GA 30901
Phone (706) 721-4951

2467 Golden Camp Rd
Augusta, GA 30906
Phone (706) 922-0682

927 N Highway 71
Anderson, MO 64831
Phone (417) 845-2273

530 S Maiden Ln
Joplin, MO 64801
Phone (417) 223-4385

Interoperability endpoints

  • Direct secure messaging: mariam.akhtar@mapbt.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1372204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1780024596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3810",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648033810",
            "telephone_number": "417-347-4662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3202 MCINTOSH CIR STE 301",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648043686",
            "telephone_number": "417-347-8430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "336 S Jefferson St",
            "address_purpose": "LOCATION",
            "city": "Neosho",
            "state": "MO",
            "postal_code": "648501769",
            "country_code": "US",
            "telephone_number": "417-455-4200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2467 Golden Camp Rd",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309065515",
            "country_code": "US",
            "telephone_number": "067-904-4407",
            "fax_number": "706-790-4393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AKHTAR",
        "first_name": "MARIAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-26",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2018035258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

Verify at the official NPI Registry.