Azemobo Charles Akhimien, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

200000171 Issued in NC

Practice address

1021 X Ray Dr
Gastonia, NC 28054-7489

Phone

(704) 867-2341

Fax

(704) 867-9019

NPI assigned

Apr 18, 2006

Last updated

Dec 21, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NC, SC2 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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: charles.akhimien@gastoniamedical.directbygreenway.com
• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.61582

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.

• Gastonia Medical Specialty Clinic PA

  • Internal Medicine Physician
  • Gastonia, NC
  • NPI 1023048279
  Medicare reassignment NPD
• 24 On Physicians of SC, LLC

  • Hospitalist Physician
  • Charleston, SC
  • NPI 1144877655
  Medicare reassignment NPD
• Sterling Hospitalist Services of North Carolina Inc.

  • Internal Medicine Physician
  • Salisbury, NC
  • NPI 1588680540
  NPD (past)

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513814400000",
    "number": "1992760581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 X RAY DR",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280547489",
            "telephone_number": "704-867-2341",
            "fax_number": "704-867-9019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 X RAY DR",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280547489",
            "telephone_number": "704-867-2341",
            "fax_number": "704-867-9019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKHIMIEN",
        "first_name": "AZEMOBO",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2017-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "51287",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "200000171",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "23016",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alec Akbarov, M.D.
• Akers Pharmacy (Akers Immunizing Pharmacy)
• Akers Pharmacy Inc
• Akers Pharmacy Inc (Akers Pharmacy-LTC)
• Richard Edwin Akers, M.D.
• Iyon Debbie Akhimien, RN
• Funmilola Akingbala, FNP
• Cecilia Akintonde, DDS
• Joanne Frances Akong, M.D.
• Alan a. Godel, D.D.S.

• Internal Medicine Physician in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.