Individual provider Active NPI

Michael Besong Akwo-Adelowo

  • Psychiatric/Mental Health Nurse Practitioner
  • Forney, TX
National Provider Identifier
1881235646
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP141113 Issued in TX
Practice address
1512 Calcot LN
Forney, TX 75126-1719
Phone
(469) 212-6565
NPI assigned
Oct 3, 2019
Last updated
Jul 14, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP141113 TX Primary

Addresses

Primary practice location

1512 Calcot LN
Forney, TX 75126-1719

Mailing address

1512 Calcot LN
Forney, TX 75126-1719

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20191113001248 TX Practitioner - Nurse Practitioner 4284066291 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP141113TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Aug 5, 2022 Accepting new patients
Humane Psychiatry PLLC Psychiatric/Mental Health CurrentSince Dec 9, 2024 Accepting new patients
Mental Health Specialty Group PA CurrentSince Sep 1, 2025 Accepting new patients
Cerebral Medical Group, a Professional Corporation CurrentSince Aug 10, 2021 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients

Locations

340 S Lemon Ave
Ste 9892
Walnut, CA 91789
Phone (415) 617-9894

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

600 Congress Ave
Austin, TX 78701
Phone (281) 330-3059

425 Pinson Rd
Ste M
Forney, TX 75126
Phone (469) 212-6565

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

Organizations & group practices 5

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": "1570060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1881235646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 CALCOT LN",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751261719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 CALCOT LN",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751261719",
            "telephone_number": "469-212-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKWO-ADELOWO",
        "first_name": "MICHAEL",
        "middle_name": "BESONG",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-03",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP141113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forney, TX

Sources for this page

Verify at the official NPI Registry.