Healthcare Provider Details

I. General information

NPI: 1467890145
Provider Name (Legal Business Name): CRAIG CHIKE AKOH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2013
Last Update Date: 06/18/2025
Certification Date: 06/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

135 N PARK PL
STOCKBRIDGE GA
30281-7209
US

IV. Provider business mailing address

135 N PARK PL
STOCKBRIDGE GA
30281-7209
US

V. Phone/Fax

Practice location:
  • Phone: 770-892-0300
  • Fax: 470-878-1495
Mailing address:
  • Phone: 770-892-0300
  • Fax: 470-878-1495

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number036152796
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number93218
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberU0545
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License Number93218
License Number StateGA
# 5
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number036152796
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: