Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Adewale Adeyinka Odukoya, MD

Individual provider Emergency Medicine Physician · NPI 1902268550

Adewale Adeyinka Odukoya, MD is a Family Practice in Jackson, Tennessee. Graduated from University of Tennessee, Hsc, College of Medicine in 2016, 10 years ago. Practices with Southeastern Emergency Physicians LLC, a 786-clinician group and accepts Medicare assignment. Licensed in Kentucky, Missouri, Tennessee and Texas.

Years since qualifying
10
Trained at
University of Tennessee, Hsc, College of Medicine
Licensed in
KY, MO, TN, TX
In the registry since
2016
Specialties on file
7
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

294 Summar Dr
Jackson, TN 38301-3915
Phone: (731) 423-1932
Fax: (731) 410-0367
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence S5721 (TX)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 56635 (TN)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 51712 (KY)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 2020010832 (MO)
Family Medicine Physician Taxonomy 207Q00000X · Licence 56635 (TN)
Internal Medicine Physician Taxonomy 207R00000X · Licence 51712 (KY)
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Taxonomy 208G00000X · Licence S5721 (TX)

Record details

NPI number1902268550
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 23, 2016
Last updated in NPPESJanuary 19, 2024
Certification dateJanuary 19, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Southeastern Emergency Physicians Llc — 786 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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