CMS-1500 Box 24J / 33a • NPI
1760157671
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
111NI0013X (CMS 35)
Licensed & Credentialed Chiropractic Providers — Chiropractor, Independent Medical Examiner
Box 32 Service Location & ZIP+4
2503 GLENDALE AVE, HATTIESBURG, MS, 39401-1073
✓ 9-Digit EDI 837 ZIP+4 (39401-1073)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1760157671 (AKWASI AMPONSAH, D.O.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1760157671 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | AKWASI AMPONSAH, D.O. |
| Plain-English Specialty | Licensed & Credentialed Chiropractic Providers — Chiropractor, Independent Medical Examiner NUCC Code: 111NI0013X (Chiropractor, Independent Medical Examiner) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 2503 GLENDALE AVE, HATTIESBURG, MS, 39401-1073 |
| Practice Telephone / Fax | Tel: (314) 435-6386 |
| Administrative Mailing Address | 84 GREENLEAF DR, HATTIESBURG, MS, 39402-8399 |
| Enumeration & Last Sync | Enumerated: 2021-08-12 | CMS Record Updated: 2026-04-07 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (111NI0013X)
What Does Taxonomy Code 111NI0013X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 111NI0013X translates to:
"Licensed & Credentialed Chiropractic Providers — Chiropractor, Independent Medical Examiner"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (AKWASI AMPONSAH, D.O.)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
207Q00000X — Family MedicinePlain English: Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor) | State: MS | License: 09370 | Primary: Secondary |
111NI0013X — Chiropractor, Independent Medical ExaminerPlain English: Licensed & Credentialed Chiropractic Providers — Chiropractor, Independent Medical Examiner | State: MS | License: 1420 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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