Individual provider Active NPI

Temitope Oladokun Olagbaiye, NP

  • Family Nurse Practitioner
  • Memphis, TN
National Provider Identifier
1043561277
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
33656 Issued in TN
Practice address
5131 Quince Rd
Memphis, TN 38117-6846
Phone
(901) 701-1888
Fax
(901) 701-1136
NPI assigned
Sep 27, 2012
Sex
Male
Sole proprietor
Yes

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, TN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130408000198 MI Practitioner - Nurse Practitioner 4789829151 Reassigns benefits to 3 organizations
I20230509003165 TN Practitioner - Nurse Practitioner 4789829151 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dedicated Physicians Group of Michigan PLLC CurrentSince Jun 22, 2021 Accepting new patients
Joram O Mogaka MD PC CurrentSince Feb 10, 2013 Accepting new patients
Paragon Clinical LLC Family CurrentSince Feb 19, 2020 Accepting new patients
Dedicated Physicians Group of Tennessee, PLLC CurrentSince Apr 1, 2023 Accepting new patients
Dedicated Physicians Group of Tennessee, PLLC CurrentSince Apr 1, 2023 Accepting new patients
Paragon Clinical Midwest, LLC Past Accepting new patients
Dedicated Physicians Group of Michigan PLLC PastSince Mar 28, 2021 Accepting new patients
United Family Medical Associates, PLLC Past Accepting new patients

Locations

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

1385 E Empire Ave
Benton Harbor, MI 49022
Phone (269) 925-0033

21811 Kelly Rd
Eastpointe, MI 48021
Phone (586) 649-3388

2252 Lamar Ave
Memphis, TN 38114
Phone (901) 671-1800

1056 E Raines Rd
Memphis, TN 38116
Phone (901) 300-5777

5131 Quince Rd
Memphis, TN 38117
Phone (901) 440-3044

Interoperability endpoints

  • Direct secure messaging: tolagalye830797@direct.hfhs.org

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704252765 MI
Family Nurse Practitioner 363LF0000X 33656 TN Primary

Addresses

NPPES NPI Registry

Primary practice location

5131 Quince Rd
Memphis, TN 38117-6846

Mailing address

5131 Quince Rd
Memphis, TN 38117-6846
Phone (901) 701-1888

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
4704252765OtherMISTATE LICENSE NUMBER

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 7, 2023.

{
    "created_epoch": "1348704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1043561277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5131 QUINCE RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381176846",
            "telephone_number": "901-701-1888",
            "fax_number": "901-701-1136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5131 QUINCE RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381176846",
            "telephone_number": "901-701-1888",
            "fax_number": "901-701-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLAGBAIYE",
        "first_name": "TEMITOPE",
        "middle_name": "OLADOKUN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-27",
        "last_updated": "2023-09-07",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704252765",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "33656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "4704252765",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.