EBENEZER ADEBOYE DAWODU (MD) – Nephrology Physician, NPI 1962990648
Nephrology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
253 NEPHROLOGY in TN
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Provider Addresses for EBENEZER ADEBOYE DAWODU (MD)
Little Zion Primitive Baptist Church, 1005, Dr D B Todd Jr Boulevard, Nashville, Davidson County, Tennessee, 37208, United States
NASHVILLE, TN 37208
Phone: (615) 327-6611
Type: Location
3980 Rogers Bridge Rd
Duluth, GA 300972214
Phone: (470) 292-3957
Fax: (470) 292-3683
Type: Location
920 MADISON AVE STE 447
MEMPHIS, TN 381033438
Phone: (901) 448-2510
Fax: (901) 448-7836
Type: Mailing
601A, PROFESSIONAL DRIVE
SUITE 235
LAWRENCEVILLE, GA 30046
Phone: (470) 292-3957
Fax: (470) 292-3683
Type: Location
PO BOX 3877
JOLIET, IL 604343877
Phone: (815) 714-7171
Fax: (815) 435-5080
Type: Mailing
601A PROFESSIONAL DRIVE
SUITE 235
LAWRENCEVILLE, GA 30046
Phone: (470) 292-3957
Fax: (470) 292-3683
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $15.
Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.
Last reported payment date: 2024-09-16 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($15).
Total Amount
$15
General + Research + Ownership
Payments
1
Total payment records
General Amount
$15
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bayer Healthcare Pharmaceuticals Inc. | $15 |
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: 2024-11-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20241106002702 | I | Nephrology | GA | 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 37208)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E P H R O L O G Y | GA | |
| N E P H R O L O G Y | GA | |
| N E P H R O L O G Y | GA |
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