South MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SOUTH MD PC

Practice address

2986 Kate Bond Rd
Bartlett, TN 38133-4003

Phone

(901) 820-7000

NPI assigned

Oct 22, 2012

Organization subpart

No

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

Authorized official

Name

Oluwatoyin Jimmy Agbaosi, MDNPI 1265675201

Title

Provider/Owner

Phone

(901) 203-2020

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Oluwatoyin Jimmy Agbaosi, M.D

  • Internal Medicine Physician
  • Memphis, TN
  • NPI 1265675201
  Medicare reassignment Care Compare group Authorized official
• Tina A Agbaosi, M.D

  • Infectious Disease Physician
  • Memphis, TN
  • NPI 1740423417

  Internal Medicine

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782777600000",
    "number": "1609129139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16384",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381860384",
            "telephone_number": "901-570-7438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2986 KATE BOND RD",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381334003",
            "telephone_number": "901-820-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4100 Austin Peay Hwy",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381282502",
            "country_code": "US",
            "telephone_number": "901-213-5100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTH MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-22",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A",
        "authorized_official_last_name": "AGBAOSI",
        "authorized_official_first_name": "OLUWATOYIN",
        "authorized_official_middle_name": "JIMMY",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "901-203-2020",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1530261",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Bartlett, TN
• Providers in Bartlett, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.