Individual provider Active NPI

Adetunji Adenipekun

  • Psychiatric/Mental Health Nurse Practitioner
  • Greenville, SC
National Provider Identifier
1922822659
Registry record updated Oct 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
30602A Issued in SC
Practice address
60 Bear Dr
Greenville, SC 29605-4458
Phone
(864) 844-9432
Fax
(864) 844-9430
NPI assigned
Nov 11, 2024
Last updated
Oct 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 30602A SC Primary

Addresses

Primary practice location

60 Bear Dr
Greenville, SC 29605-4458

Mailing address

10 Financial Blvd
Anderson, SC 29621-1770
Phone (864) 844-9432

Other identifiers 1

IdentifierTypeStateIssuer
NN1498MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, IL, NC3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20250729000483 SC Practitioner - Nurse Practitioner 5698282242 Reassigns benefits to 4 organizations
I20251104002025 IL Practitioner - Nurse Practitioner 5698282242 Reassigns benefits to 2 organizations
I20251125001534 NC Practitioner - Nurse Practitioner 5698282242 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psychiatry of Texas PLLCGroup PAC ID 0345573598, 418 clinicians

Practice addresses (Care Compare)

14484 John Humphrey Dr
Orland Park, IL 60462-2638
Phone 8328694818235

302 University Pkwy
Aiken, SC 29801-6302
Phone 8328694818235

3541 Randolph Rd
Suite 102W
Charlotte, NC 28211-1081
Phone 8328694818235

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30602ASCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatry of Texas PLLC Psychiatric/Mental Health CurrentSince Jul 10, 2025 Accepting new patients
Psychplus Medical Associates, PLLC CurrentSince Jul 10, 2025 Accepting new patients
Mental Health Specialty Group PA CurrentSince Jan 1, 2026 Accepting new patients
South Carolina United Psych LLC Psychiatric/Mental Health CurrentSince Dec 3, 2025 Accepting new patients

Locations

100 Fox Gln
Barrington, IL 60010
Phone (847) 304-0781

1431 McHenry Rd
Ste 105
Buffalo Grove, IL 60089
Phone (708) 286-1264

14484 John Humphrey Dr
Orland Park, IL 60462
Phone (708) 741-2325

322 Lamar Ave
#220
Charlotte, NC 28204

322 Lamar Ave
Ste 220
Charlotte, NC 28204
Phone (704) 914-5910

3541 Randolph Rd
Ste 102W
Charlotte, NC 28211
Phone (704) 582-9799

1510 Whiskey Rd
Ste 2
Aiken, SC 29803

302 University Pkwy
Aiken, SC 29801
Phone (803) 279-3940

170 Meeting St
Charleston, SC 29401
Phone (800) 985-3059

221 Adley Way
Greenville, SC 29607
Phone (661) 378-0517

7877 Willow Chase Blvd
Houston, TX 77070
Phone 8328694818109

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1731283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792368000000",
    "number": "1922822659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 FINANCIAL BLVD",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296211770",
            "telephone_number": "864-844-9432",
            "fax_number": "864-844-9430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 BEAR DR",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054458",
            "telephone_number": "864-844-9432",
            "fax_number": "864-844-9430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADENIPEKUN",
        "first_name": "ADETUNJI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-11-11",
        "last_updated": "2026-10-19",
        "certification_date": "2026-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "30602A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NN1498",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.