Individual provider Active NPI

Oluwayemisi Emereuwaonu, MD

  • Pediatrics Physician
  • Cordova, TN
National Provider Identifier
1700197530
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
49479 Issued in TN
Practice address
8045 Club Pkwy
Cordova, TN 38016-5977
Phone
(901) 249-0847
Fax
(833) 673-0465
NPI assigned
Jun 26, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 125.055268 IL
Pediatrics Physician 208000000X 49479 TN Primary
Pediatrics Physician 208000000X 45333 AZ

Addresses

Primary practice location

8045 Club Pkwy
Cordova, TN 38016-5977

Mailing address

8045 Club Pkwy
Cordova, TN 38016-5977
Phone (901) 249-0847

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
I20131030001272 TN Practitioner - Pediatric Medicine 0941435804 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
45333AZMDPediatrics Physician
125.055268ILMDPediatrics Physician
49479TNMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beloved Medical, LLC CurrentSince Jan 3, 2024 Accepting new patients
Southeastern Emergency Physicians LLC CurrentSince Aug 22, 2013 Accepting new patients

Locations

8045 Club Pkwy
Cordova, TN 38016
Phone (901) 758-1384

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

Interoperability endpoints

  • Direct secure messaging: oluwayemisi.emereuwaonu.1@22921.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1277510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1700197530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8045 CLUB PKWY",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380165977",
            "telephone_number": "901-249-0847",
            "fax_number": "833-673-0465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8045 CLUB PKWY",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380165977",
            "telephone_number": "901-249-0847",
            "fax_number": "833-673-0465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMEREUWAONU",
        "first_name": "OLUWAYEMISI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-26",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "125.055268",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "49479",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "45333",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

Verify at the official NPI Registry.