Individual provider Active NPI

Charlene Similoluwa Abidun, M.D.

  • Student in an Organized Health Care Education/Training Program
  • Jackson, MS
National Provider Identifier
1912834979
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
University of Mississippi Medical Center
2500 North State Street
Jackson, MS 39216
Phone
(767) 245-4631
NPI assigned
May 5, 2026
Last updated
May 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU Primary

Addresses

Primary practice location

University of Mississippi Medical Center
2500 North State Street
Jackson, MS 39216

Mailing address

All Saints University, School of Medicine, Hillsborough
Roseau, ST. GEORGE 00152
DM

Other names 1

  • Charlene Similoluwa Omekwu Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1777939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1912834979",
    "addresses": [
        {
            "country_code": "DM",
            "country_name": "Dominica",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "ALL SAINTS UNIVERSITY, SCHOOL OF MEDICINE, HILLSBOROUGH",
            "city": "ROSEAU",
            "state": "ST. GEORGE",
            "postal_code": "00152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF MISSISSIPPI MEDICAL CENTER",
            "address_2": "2500 NORTH STATE STREET",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39216",
            "telephone_number": "767-245-4631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABIDUN",
        "first_name": "CHARLENE",
        "middle_name": "SIMILOLUWA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-05",
        "last_updated": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARLENE",
            "last_name": "OMEKWU",
            "middle_name": "SIMILOLUWA",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; 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.