Alpha Medical Associates, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ALPHA MEDICAL ASSOCIATES, INC

Practice address

209 College St
Lafayette, TN 37083-1701

Phone

(615) 666-2056

Fax

(615) 666-3022

NPI assigned

Dec 22, 2005

Last updated

Mar 1, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Olufemi O Odunusi, MDNPI 1861541351

Title

Provider

Phone

(615) 666-2056

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Olufemi O Odunusi, M.D.

  • Internal Medicine Physician
  • Lafayette, TN
  • NPI 1861541351
  Authorized official Same address or phone

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614556800000",
    "number": "1831175603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 COLLEGE ST",
            "city": "LAFAYETTE",
            "state": "TN",
            "postal_code": "370831701",
            "telephone_number": "615-666-2056",
            "fax_number": "615-666-3022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 COLLEGE ST",
            "city": "LAFAYETTE",
            "state": "TN",
            "postal_code": "370831701",
            "telephone_number": "615-666-2056",
            "fax_number": "615-666-3022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA MEDICAL ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-22",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A",
        "authorized_official_last_name": "ODUNUSI",
        "authorized_official_first_name": "OLUFEMI",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "615-666-2056",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "TN",
            "license": "MD024943",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Lafayette, TN
• Providers in Lafayette, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.