Provider Demographics
NPI:1801880737
Name:ADEWUMI, JOHN T (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:T
Last Name:ADEWUMI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2201 MURPHY AVE STE 220
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1894
Mailing Address - Country:US
Mailing Address - Phone:615-329-0494
Mailing Address - Fax:615-327-3467
Practice Address - Street 1:2201 MURPHY AVE STE 220
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1894
Practice Address - Country:US
Practice Address - Phone:615-329-0494
Practice Address - Fax:615-327-3467
Is Sole Proprietor?:No
Enumeration Date:2005-09-07
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0000035607207Q00000X, 2083P0901X
TNMD356072083P0901X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3893799Medicaid
H44189Medicare UPIN
TN3893799Medicaid