Individual provider Active NPI

Bukola Oyindamola Afilaka, MD

  • Internal Medicine Physician
  • Greeneville, TN
National Provider Identifier
1619268455
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
58613 Issued in TN
Practice address
1420 Tusculum Blvd
Greeneville, TN 37745-4279
Phone
(423) 787-5000
NPI assigned
Apr 27, 2011
Last updated
Dec 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 58613 TN Primary
Hospitalist Physician 208M00000X 207169 LA
Hospitalist Physician 208M00000X 58613 TN

Addresses

Primary practice location

1420 Tusculum Blvd
Greeneville, TN 37745-4279

Mailing address

1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Phone (423) 302-6565

Other practice location 1

3330 Masonic Dr
Alexandria, LA 71301-3841
Phone (318) 487-1122

Other names 1

  • Bukola O Falade Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bafilaka142513@balladhealth.medalliesdirect.net Direct Blue Ridge Medical Management C orporation

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160329002623 AR Practitioner - Internal Medicine 3476774324
I20190501002806 TN Practitioner - Hospitalist 3476774324 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Steele Creek Physician Services PCGroup PAC ID 1052818960, 35 clinicians
Wellmont Medical Associates IncGroup PAC ID 8123291739, 432 clinicians
Southeastern Physician Services PCGroup PAC ID 0042307852, 591 clinicians
Tusculum Physician Services PCGroup PAC ID 7719476415, 35 clinicians

Practice addresses (Care Compare)

1 Medical Park Blvd
Bristol, TN 37620-7430
Phone (423) 844-1121

115 Woodlawn Dr
Johnson City, TN 37604-5978
Phone (423) 975-0095

1201 Bishop St
Union City, TN 38261-5403
Phone (731) 885-2410

140 Technology LN
Johnson City, TN 37604-2004
Phone (423) 434-2016

1420 Tusculum Blvd
Greeneville, TN 37745-4279
Phone (423) 787-5000

1497 W Elk Ave
Elizabethton, TN 37643-2896

1630 E Reelfoot Ave
Union City, TN 38261-6021
Phone (731) 885-8095

213 University Pkwy
Johnson City, TN 37604-7328
Phone (423) 232-5500

2412 Knob Creek Rd
Johnson City, TN 37604-2586
Phone (423) 232-0304

300 Med Tech Pkwy
Johnson City, TN 37604-2277
Phone (423) 302-1000

400 N State of Franklin Rd
Johnson City, TN 37604-6035
Phone (423) 431-6111

403 N State of Franklin Rd
Johnson City, TN 37604-6034
Phone (423) 431-7111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
207169LAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tusculum Physician Services PC Internal Medicine CurrentSince Oct 10, 2025 Accepting new patients
Blue Ridge Medical Management Corporation Internal Medicine CurrentSince Oct 1, 2020 Accepting new patients
Southeastern Physician Services PC Internal Medicine CurrentSince Jun 1, 2021 Accepting new patients
Blue Ridge Medical Management Corporation Current Accepting new patients
App of Tennessee HM, PLLC Hospitalist CurrentSince Jul 18, 2021 Accepting new patients
Steele Creek Physician Services PC Internal Medicine CurrentSince Oct 25, 2025 Accepting new patients
Wellmont Medical Associates Inc Internal Medicine CurrentSince Apr 1, 2025 Accepting new patients
Blue Ridge Medical Management Corporation CurrentSince Oct 1, 2020 Accepting new patients

Locations

1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451

1497 W Elk Ave
Ste 20
Elizabethton, TN 37643
Phone (423) 547-7380

1019 W Oakland Ave
Ste 1
Johnson City, TN 37604
Phone (423) 915-5000

1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565

111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197

130 W Ravine Rd
Kingsport, TN 37660
Phone (423) 224-3150

2835 Highway 231 N
Shelbyville, TN 37160
Phone (931) 685-5433

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

Interoperability endpoints

  • Direct secure messaging: bafilaka142513@balladhealth.medalliesdirect.net

Organizations & group practices 8

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 7

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": "1303862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1619268455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 W OAKLAND AVE STE 310",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042192",
            "telephone_number": "423-302-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 TUSCULUM BLVD",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377454279",
            "telephone_number": "423-787-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3330 Masonic Dr",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "LA",
            "postal_code": "713013841",
            "country_code": "US",
            "telephone_number": "318-487-1122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AFILAKA",
        "first_name": "BUKOLA",
        "middle_name": "OYINDAMOLA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-27",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "58613",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "LA",
            "license": "207169",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TN",
            "license": "58613",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bafilaka142513@balladhealth.medalliesdirect.net",
            "affiliation": "Y",
            "endpointDescription": "Ballad Health Care Everywhere",
            "affiliationName": "Blue Ridge Medical Management C orporation",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1420 Tusculum Blvd",
            "city": "Greeneville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "377454279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BUKOLA",
            "last_name": "FALADE",
            "middle_name": "O",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greeneville, TN

Sources for this page

Verify at the official NPI Registry.