Individual provider Active NPI

Bola Adamolekun, MD

  • Neurology Physician
  • Cordova, TN
National Provider Identifier
1104816990
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
38899 Issued in TN
Practice address
8000 Centerview Pkwy Ste 305
Cordova, TN 38018-4225
Phone
(901) 261-3500
Fax
(901) 259-2201
NPI assigned
Oct 24, 2005
Last updated
Jul 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 38899 TN Primary

Addresses

Primary practice location

8000 Centerview Pkwy Ste 305
Cordova, TN 38018-4225

Mailing address

1211 Union Ave Ste 330
Memphis, TN 38104-6655

Other identifiers 1

IdentifierTypeStateIssuer
3898161MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041108000257 TN Practitioner - Neurology 4486617818 Reassigns benefits to 1 organization
Practice locations: Arlington, TN

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Care Group, LLCGroup PAC ID 0941480131, 108 clinicians

Practice addresses (Care Compare)

8000 Centerview Pkwy
Suite 305
Cordova, TN 38018-4225
Phone (901) 261-3500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
38899TNMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Group LLC Neurology CurrentSince Dec 19, 2021 Accepting new patients

Locations

8000 Centerview Pkwy
Ste 305
Cordova, TN 38018
Phone (901) 261-3500

2961 Canada Rd
Ste 105
Lakeland, TN 38002
Phone (901) 388-0115

1211 Union Ave
Ste 330
Memphis, TN 38104
Phone (901) 478-0954

1325 Eastmoreland Ave
Ste 101
Memphis, TN 38104
Phone (901) 261-3500

Interoperability endpoints

  • Direct secure messaging: badamolekun23140@mlh.direct-ci.com

Organizations & group practices 1

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1104816990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 UNION AVE STE 330",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381046655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 CENTERVIEW PKWY STE 305",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380184225",
            "telephone_number": "901-261-3500",
            "fax_number": "901-259-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMOLEKUN",
        "first_name": "BOLA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TN",
            "license": "38899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3898161",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

Verify at the official NPI Registry.