Organization Active NPI

Akra Professional Services

  • Internal Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1780804500
Registry record updated Oct 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME66955 Issued in FL
Legal business name
AKRA PROFESSIONAL SERVICES
Practice address
1551 Atlantic Blvd
Suite 101
Jacksonville, FL 32207-3359
Phone
(904) 379-9327
Fax
(904) 379-3764
NPI assigned
Apr 26, 2007
Last updated
Oct 4, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2011

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

Authorized official

Name
Dr. Louis Anthony Akra, MDNPI 1801827175
Title
Physician
Phone
(904) 379-9327

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME66955 FL Primary

Addresses

Primary practice location

1551 Atlantic Blvd
Suite 101
Jacksonville, FL 32207-3359

Mailing address

1551 Atlantic Blvd
Suite 101
Jacksonville, FL 32207-3359
Phone (904) 379-9327

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080821000323 FL Part B Supplier - Clinic/Group Practice 6002981313 Receives reassigned benefits from 2 practitioners
Practice locations: Jacksonville, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2047997Akra Professional Services1551 Atlantic Blvd Ste 101, Jacksonville, FL 32207Certificate of waiverOct 7, 2026

National Provider Directory

National Provider Directory

Locations

1551 Atlantic Blvd
Ste 101
Jacksonville, FL 32207
Phone (904) 379-9327

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DDJCDD

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317686400000",
    "number": "1780804500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 ATLANTIC BLVD",
            "address_2": "SUITE 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322073359",
            "telephone_number": "904-379-9327",
            "fax_number": "904-379-3764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 ATLANTIC BLVD",
            "address_2": "SUITE 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322073359",
            "telephone_number": "904-379-9327",
            "fax_number": "904-379-3764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AKRA PROFESSIONAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2011-10-04",
        "status": "A",
        "authorized_official_last_name": "AKRA",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "904-379-9327",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME66955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.