Individual provider Active NPI

Olufadejimi Atanda Kareem, MD

  • Family Medicine Physician
  • Conway, AR
National Provider Identifier
1639790983
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E14589 Issued in AR
Practice address
2302 College Ave
Conway, AR 72034-6297
Phone
(501) 513-5279
NPI assigned
Apr 28, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E14589 AR Primary
Emergency Medicine Physician 207P00000X 46990 AL
Emergency Medicine Physician 207P00000X 100907 GA

Addresses

Primary practice location

2302 College Ave
Conway, AR 72034-6297

Mailing address

2302 College Ave
Conway, AR 72034-6297
Phone (501) 513-5279

Other practice location 1

604 Stone Ave
Talladega, AL 35160-2217
Phone (256) 362-8111 ext. 14293

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, AL2 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
I20220706000678 AR Practitioner - Family Practice 6406273945 Reassigns benefits to 7 organizations
I20230814000341 AL Practitioner - Family Practice 6406273945 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Correct Care, Inc.Group PAC ID 8628980992, 96 clinicians
Alteon Health Alabama, LLCGroup PAC ID 5698830552, 38 clinicians

Practice addresses (Care Compare)

4401 Riverchase Dr
Phenix City, AL 36867-7483
Phone (334) 732-3000

701 Princeton Ave SW
Birmingham, AL 35211-1303
Phone (240) 686-2300

Hospital & facility affiliations

  • Citizens Baptist Medical Center Hospital, Talladega, AL, CCN 010101
  • Jack Hughston Memorial Hospital Hospital, Phenix City, AL, CCN 010168

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
46990ALMDEmergency Medicine Physician
100907GAMDEmergency Medicine Physician
E14589ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nes Tennessee Inc Emergency Medicine CurrentSince Apr 6, 2024 Accepting new patients
Hospital Care Consultants of Fordyce LLC CurrentSince Jun 15, 2022 Accepting new patients
Ess Hospitalist LLC CurrentSince Jun 15, 2022 Accepting new patients
Nes Tennessee Inc Emergency Medicine Current Accepting new patients
HCC of Warren LLC CurrentSince Jun 15, 2022 Accepting new patients
Ess of Fordyce LLC Emergency Medicine CurrentSince Jun 15, 2022 Accepting new patients
Monticello Ess LLC Emergency Medicine CurrentSince Oct 24, 2023 Accepting new patients
HCC of Magnolia LLC CurrentSince May 13, 2023 Accepting new patients
Correct Care, Inc. Emergency Medicine CurrentSince Jan 21, 2025 Accepting new patients
Alteon Health Alabama, LLC Emergency Medicine CurrentSince Feb 1, 2024 Accepting new patients
Emergency Staffing Solutions Region III Emergency Medicine CurrentSince May 6, 2023 Accepting new patients
Arkansas Emergency Staffing Solutions, Inc Emergency Medicine CurrentSince Jun 15, 2022 Accepting new patients
Immh Scottsboro LLC Emergency Medicine CurrentSince Jul 1, 2023 Accepting new patients
HCC of Warren Hospitalist LLC Emergency Medicine CurrentSince Jun 15, 2022 Accepting new patients

Locations

3316 Highway 280
Alexander City, AL 35010
Phone (256) 329-7100

701 Princeton Ave SW
Birmingham, AL 35211
Phone (205) 279-2860

1725 Pine St
Montgomery, AL 36106
Phone (334) 293-8000

4401 Riverchase Dr
Phenix City, AL 36867
Phone (334) 732-3000

380 Woods Cove Rd
Scottsboro, AL 35768
Phone (256) 218-3579

315 W Hickory St
Sylacauga, AL 35150
Phone (256) 249-5000

604 Stone Ave
Talladega, AL 35160
Phone (256) 362-8111

1015 Unity Rd
Crossett, AR 71635
Phone (870) 364-0590

201 N Clifton St
Fordyce, AR 71742
Phone (870) 352-6300

101 Hospital Dr
Magnolia, AR 71753
Phone (870) 235-3000

778 Scogin Dr
Monticello, AR 71655
Phone (870) 367-2411

404 S Bradley St
Warren, AR 71671
Phone (870) 226-3731

229 Saint John Ln
Covington, LA 70433
Phone (866) 875-9225

7300 State Highway 121
Ste 370374
McKinney, TX 75070

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 2

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": "1588032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1639790983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2302 COLLEGE AVE",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720346297",
            "telephone_number": "501-513-5279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 COLLEGE AVE",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720346297",
            "telephone_number": "501-513-5279"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "604 Stone Ave",
            "address_purpose": "LOCATION",
            "city": "Talladega",
            "state": "AL",
            "postal_code": "351602217",
            "country_code": "US",
            "telephone_number": "256-362-8111 x14293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAREEM",
        "first_name": "OLUFADEJIMI",
        "middle_name": "ATANDA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-28",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E14589",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "46990",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "100907",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

Verify at the official NPI Registry.