Tina A Agbaosi, M.D

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

47524 Issued in TN

Practice address

880 Madison Ave
Memphis, TN 38103-3409

Phone

(901) 545-6969

Fax

(901) 545-6424

NPI assigned

Apr 10, 2009

Last updated

Sep 17, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Specialty

Internal MedicineAlso: Infectious Disease

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South MD PCGroup PAC ID 2668624735, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Methodist Hospitals of Memphis Hospital, Memphis, TN, CCN 440049

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tagbaosi33768@mlh.direct-ci.com
• Direct secure messaging: tina.agbaosi.1@26356.direct.athenahealth.com

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.

• South MD PC

  • Internal Medicine Physician
  • Bartlett, TN
  • NPI 1609129139
  Medicare reassignment Care Compare group NPD
• AIDS Healthcare Foundation

  • Internal Medicine Physician
  • Memphis, TN
  • NPI 1790589208
  Medicare reassignment NPD
• AIDS Healthcare Foundation

  dba Ahf

  • Health Service Clinic/Center
  • North Miami Beach, FL
  • NPI 1427218874
  NPD (past)

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

• Methodist Healthcare - Memphis Hospitals

  dba Le Bonheur Children's Hospital

  • Children's Hospital
  • Memphis, TN
  • NPI 1386709871
  Care Compare affiliation
• Methodist Healthcare - Memphis Hospitals

  • General Acute Care Hospital
  • Memphis, TN
  • NPI 1558365890
  Care Compare affiliation
• Methodist Healthcare - Memphis Hospitals

  dba Le Bonheur Children's Hospital - Germantown

  • Children's Hospital
  • Germantown, TN
  • NPI 1649654450
  Care Compare affiliation

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

{
    "created_epoch": "1239321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1740423417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6255 W SUNSET BLVD FL 21",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900287422",
            "telephone_number": "323-860-5200",
            "fax_number": "323-467-7119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 MADISON AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381033409",
            "telephone_number": "901-545-6969",
            "fax_number": "901-545-6424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4299 Elvis Presley Blvd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381166435",
            "country_code": "US",
            "telephone_number": "601-368-3450",
            "fax_number": "833-973-5742",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGBAOSI",
        "first_name": "TINA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-10",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "57.015230",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TN",
            "license": "47524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1525608",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE TN",
            "identifier": "103I115728",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Muhammad Omer Afzal, M.D.,M.B.B.S
• Emmanuel Idoko Agaba
• Agape Child and Family Services, Inc.
• Emmanuel Michael Agapos, MD
• Oluwatoyin Jimmy Agbaosi, M.D
• Uchenna Agbim, MD
• Ageless Men's Health, LLC
• Agilitas USA, Inc (Results Physiotherapy)
• Agilitas USA, Inc (Results Physiotherapy)
• Agilitas USA, Inc (Results Physiotherapy)

• Infectious Disease Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Infectious Disease Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.