Active NPI
Olayinka Olaniyi Akinwumiju, MD
- Psychiatry Physician
- Cordova, TN
National Provider Identifier
1831115419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 40810
- Practice address
- 8130 Country Village Dr Ste 102
Cordova, TN 38016 - Phone
- (901) 308-2915
- Fax
- (901) 308-2924
- NPI assigned
- Jul 15, 2006
- Last updated
- Oct 3, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 16950 | MS | |
| Psychiatry Physician | 2084P0800X | 40810 | TN | Primary |
Addresses
Primary practice location
8130 Country Village Dr Ste 102
Cordova, TN 38016
Mailing address
8130 Country Village Dr Ste 102
Cordova, TN 38016-2087
Phone (901) 308-2915
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 195422001 | Medicaid | AR | |
| 302I264225 | Other | MS | MEDICARE MS |
| 302I264225 | Medicaid | MS | |
| 06729219 | Medicaid | MS | |
| 103I263512 | Other | TN | MEDICARE TN |
| 1521381 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6857 Cobblestone Blvd
Southaven, MS 38672-9312
Phone (662) 253-8040
8130 Country Village Dr
Suite 102
Cordova, TN 38016-2087
Phone (901) 308-2915
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40810 | TN | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Magnolia Regional Health Center | Current | Accepting new patients | |
| Uhs of Lakeside LLC | Past | Accepting new patients | |
| Uhs of Parkwood Inc | Past | Accepting new patients | |
| Region IV Mental Health Services | Past | Accepting new patients | |
| DMC-Memphis, LLC | Past | Accepting new patients | |
| Region IV Mental Health Services | Past | Accepting new patients |
Locations
611 Alcorn Dr
Corinth, MS 38834
Phone (601) 286-6961
Interoperability endpoints
- olayinkaakinwumiju@magnolia.medalliesdirect.net
Organizations & group practices 7
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.
-
- General Acute Care Hospital
- Corinth, MS
- NPI 1699756445
-
dba Lakeside Behavioral Health System
- Psychiatric Hospital
- Memphis, TN
- NPI 1083687651
-
dba Timber Hills
- Community/Behavioral Health Agency
- Corinth, MS
- NPI 1154601219
-
- Community/Behavioral Health Agency
- Corinth, MS
- NPI 1942579826
-
dba Parkwood Behavioral Health System
- Psychiatric Hospital
- Olive Branch, MS
- NPI 1093785859
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696291200000",
"number": "1831115419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8130 COUNTRY VILLAGE DR STE 102",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380162087",
"telephone_number": "901-308-2915",
"fax_number": "901-308-2924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8130 COUNTRY VILLAGE DR STE 102",
"city": "CORDOVA",
"state": "TN",
"postal_code": "38016",
"telephone_number": "901-308-2915",
"fax_number": "901-308-2924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AKINWUMIJU",
"first_name": "OLAYINKA",
"middle_name": "OLANIYI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-15",
"last_updated": "2023-10-03",
"certification_date": "2023-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MS",
"license": "16950",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TN",
"license": "40810",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "195422001",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE MS",
"identifier": "302I264225",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "302I264225",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "06729219",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE TN",
"identifier": "103I263512",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1521381",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cordova, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; 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.