MEDICARE: FELIX BOADI ANKOMAH MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207XS0114X	Adult Reconstructive Orthopaedic Surgery Physician	101608	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1861998569
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FELIX BOADI ANKOMAH MD

Provider Business Mailing Address
First Line	:	2400 MOUNT ZION PKWY
Second Line	:
City	:	JONESBORO
State	:	GA
Zip	:	30236-2500
Country	:	US
Telephone Number	:	404-365-0966
Fax Number	:

Provider Business Practice Location Address
First Line	:	2400 MOUNT ZION PKWY
Second Line	:
City	:	JONESBORO
State	:	GA
Zip	:	30236-2500
Country	:	US
Telephone Number	:	404-365-0966
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/02/2018
Last Update Date	:	03/12/2026

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