Adesola F Shekoni, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

15143 Issued in MS

Practice address

5160 Galaxie Dr
Jackson, MS 39206

Phone

(601) 713-0890

Fax

(601) 366-3415

NPI assigned

Jan 4, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Adesola F Shekoni-Daly Former name

Medicare fee-for-service enrollment

Enrolled in MS

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: adesola.shekoni.p1@direct.northjacksonmedical.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• North Jackson Medical Clinic PLLC

  • Internal Medicine Physician
  • Jackson, MS
  • NPI 1659471407
  Medicare reassignment NPD Authorized official
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  MS

  Medicare reassignment NPD

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509926400000",
    "number": "1972650885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NORTH JACKSON MEDICAL CLINIC PO BOX 4522",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39296",
            "telephone_number": "601-713-0890",
            "fax_number": "601-366-3415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5160 GALAXIE DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39206",
            "telephone_number": "601-713-0890",
            "fax_number": "601-366-3415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEKONI",
        "first_name": "ADESOLA",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2017-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "15143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00117502",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADESOLA",
            "last_name": "SHEKONI-DALY",
            "middle_name": "F",
            "credential": "M.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John Joseph Sheehan Jr., M.D.
• Natale Tate Sheehan, MD
• Thomas Sheffield Sr., M. D.
• Thomas Easton Sheffield, MD
• Mohammad Saad Sheikh, MD
• Nurudeen Shekoni, MD
• Hailey Brohaugh Shell, DPT
• Sheltering Arms Care Agency LLC
• Lori-Ann Shelton, MS
• Walter Rowen Shelton II, MD

• Internal Medicine Physician in Jackson, MS
• Providers in Jackson, MS by specialty
• Internal Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.