KEIDE KERRICK AKINOLA (MD) – Surgery Physician, NPI 1104387760

KEIDE KERRICK AKINOLA (MD) is a healthcare provider. based in Savannah, Georgia. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 105448 (GA). The NPI Number for KEIDE KERRICK AKINOLA (MD) is 1104387760

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
KEIDE KERRICK AKINOLA (MD)
NPI
1104387760
Phone
(912) 352-0920
Address
5354 REYNOLDS ST STE 202
Enumeration Date
27 March 2019
Last Update Date
30 October 2025

Doctor Profile

Medical School Name
TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Secondary Phone
9123520920
Graduation Year
2019 (7 years ago)
PAC ID
2062948003
Group Practice PAC ID
2961490669
Professional Enrollment ID
I20250925003348
Address ID
GA314056009SA5354XSTXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:7State licenses:2Digital endpointsOther names

1,092 GENERAL SURGERY in GA

Provider Addresses for KEIDE KERRICK AKINOLA (MD)

  • 5354 REYNOLDS ST STE 202

    SAVANNAH, GA 314056009

    Phone: (912) 352-0920

    Fax: (912) 826-2853

    Type: Mailing

  • West 2nd Place, Lakewood, Jefferson County, Colorado, 80228, United States

    LAKEWOOD, CO 802281527

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $63.

Total Amount is formed as General ($63) + Research ($0) + Ownership ($0) = $63.

Last reported payment date: 2024-05-23 • Largest payer in this snapshot: Dilon Technologies, Inc. ($30).

Total Amount

$63

General + Research + Ownership

Payments

3

Total payment records

General Amount

$63

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-09-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241213000669IGeneral SurgeryALTBD
I20250925003348IGeneral SurgeryGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31405)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2961490669View full group profile

Reviews

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Frequently asked questions

How is KEIDE KERRICK AKINOLA (MD) identified in CMS data?
CMS-hosted NPPES data lists KEIDE KERRICK AKINOLA (MD) with NPI 1104387760.
Does CMS list KEIDE KERRICK AKINOLA (MD) as active?
Yes — KEIDE KERRICK AKINOLA (MD) is active in the NPI listing used on this page.
What healthcare role does KEIDE KERRICK AKINOLA (MD) hold?
Scheduling teams often label KEIDE KERRICK AKINOLA (MD) under Surgery Physician. Clinical services aligned with this taxonomy classification.
Where is KEIDE KERRICK AKINOLA (MD) based?
KEIDE KERRICK AKINOLA (MD) is tied to Savannah, Georgia in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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