ADEBUKOLA AJAGUNNA – Pediatrics Physician, NPI 1215468541
Pediatrics Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
788 PEDIATRIC MEDICINE in TN
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Provider Addresses for ADEBUKOLA AJAGUNNA
490, Dunlop Lane, Clarksville, Montgomery County, Tennessee, 37040, United States
CLARKSVILLE, TN 370405007
Phone:
Type: Mailing
3841 GREEN HILLS VILLAGE DR STE 200
NASHVILLE, TN 372152691
Phone:
Fax: (615) 322-5048
Type: Mailing
4235 FORT CAMPBELL BLVD
HOPKINSVILLE, KY 422409339
Phone: (270) 885-8445
Fax: (270) 886-9106
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $268.
Total Amount is formed as General ($268) + Research ($0) + Ownership ($0) = $268.
Last reported payment date: 2024-11-07 • Largest payer in this snapshot: SANOFI PASTEUR INC. ($70).
Total Amount
$268
General + Research + Ownership
Payments
15
Total payment records
General Amount
$268
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| SANOFI PASTEUR INC. | $70 |
| Supernus Pharmaceuticals, Inc. | $35 |
| Corium, LLC | $33 |
| Merck Sharp & Dohme LLC | $29 |
| GlaxoSmithKline, LLC. | $20 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-07-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200730003891 | I | Pediatric Medicine | TN | TBD |
| I20220712000838 | I | Pediatric Medicine | KY | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 37040)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | NM | |
| Emergency Medicine | MA | |
| Emergency Medicine | TN | |
| Emergency Medicine | TN | |
| Emergency Medicine | TN | |
| Emergency Medicine | TN | |
| Emergency Medicine, Anesthesiology | TN | |
| Emergency Medicine | TN | |
| Physician Assistant | IL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TN |
Reviews
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