Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Charles Ayo Adedara, MD

Individual provider Physical Therapist · NPI 1184085235

Dr. Charles Ayo Adedara, MD is a Physical Therapist in Jackson, Mississippi. Practices as a sole proprietor. Licensed in Mississippi and New York.

Licensed in
MS, NY
In the registry since
2016
Specialties on file
2
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

2500 N State St
Jackson, MS 39216-4500
Phone: (347) 659-2361
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence T-5357 (MS)
Physical Therapist Taxonomy 225100000X · Licence 039952 (NY)

Record details

NPI number1184085235
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 17, 2016
Last updated in NPPESJuly 23, 2026
Certification dateJuly 23, 2026

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