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PUTNAM OBSTETRICS AND GYNECOLOGY PA
NPI 1205804812
Specialist in Palatka, FL

Active since March 09, 2006
6061 SAINT JOHNS AVE, SUITE A, PALATKA, FL 32177(386) 325-0826(386) 325-6419 Get Directions Write a Review

NPPES record last updated: July 17, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Putnam Obstetrics And Gynecology Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PUTNAM OBSTETRICS AND GYNECOLOGY PA (NPI 1205804812) is a healthcare organization registered as a specialist in Palatka, Florida and active in the NPI registry since March 2006. The organization lists Mohamed Michael Akhiyat, President, as its authorized official.

NPPES Registry Identity

NPI1205804812
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePUTNAM OBSTETRICS AND GYNECOLOGY PA
Location Address6061 SAINT JOHNS AVE, SUITE APalatka, FL 32177-6857
Mailing Address6061 Saint Johns Ave, Suite APalatka, FL 32177-6857 · (386) 325-0826 · Fax (386) 325-6419
Phone(386) 325-0826
Fax(386) 325-6419
Organization SubpartNo
Authorized OfficialMohamed Michael AkhiyatPresident · (386) 325-0826
Enumeration DateMarch 9, 2006
Last NPPES UpdateJuly 17, 2014
✔ NPI 1205804812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
6061 SAINT JOHNS AVE, Palatka, FL 32177
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Other Identifiers 3

Medicaid660162600FL
Medicare PINK0498FL
Medicaid660162601FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2081539

Putnam Obstetrics And Gynecology · Palatka, FL
Expired · Jul 27, 2026
CLIA Number10D2081539
Laboratory TypePhysician Office
Certificate Effective DateJuly 28, 2024
Certificate Expiration DateJuly 27, 2026
Laboratory DirectorMohamed M. Akhiyat
Laboratory Phone(386) 325-0826
Laboratory LocationPutnam Obstetrics And Gynecology6061 St Johns Ave Ste 1, Palatka, FL 32177
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

M MICHAEL AKHIYAT M.D.
Specialist
6061 SAINT JOHNS AVE, SUITE A
PALATKA, FL 32177
Putnam County (386) 325-0826

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Putnam Obstetrics And Gynecology PA's NPI number?

The NPI number for Putnam Obstetrics And Gynecology PA is 1205804812. It was assigned to this organization in the NPPES registry on March 9, 2006.

Where is Putnam Obstetrics And Gynecology PA located?

Putnam Obstetrics And Gynecology PA is located at 6061 Saint Johns Ave Suite A, Palatka, FL 32177. The listed phone number is (386) 325-0826.

What is Putnam Obstetrics And Gynecology PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Putnam Obstetrics And Gynecology PA was last updated on July 17, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.