Provider Demographics
NPI:1023207685
Name:JAMES A AKINS MD
Entity Type:Organization
Organization Name:JAMES A AKINS MD
Other - Org Name:TEAYS INTERNAL MEDICINE
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:A
Authorized Official - Last Name:AKINS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:304-757-1907
Mailing Address - Street 1:111 GREAT TEAYS BLVD
Mailing Address - Street 2:
Mailing Address - City:SCOTT DEPOT
Mailing Address - State:WV
Mailing Address - Zip Code:25560-9548
Mailing Address - Country:US
Mailing Address - Phone:304-757-1907
Mailing Address - Fax:304-757-7991
Practice Address - Street 1:111 GREAT TEAYS BLVD
Practice Address - Street 2:
Practice Address - City:SCOTT DEPOT
Practice Address - State:WV
Practice Address - Zip Code:25560-9548
Practice Address - Country:US
Practice Address - Phone:304-757-1907
Practice Address - Fax:304-757-7991
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-19
Last Update Date:2015-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVWV19666207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0047022000Medicaid
WV0047022000Medicaid