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

Samuel Olaniyi Bada, MD

Individual provider Internal Medicine Physician · NPI 1770530586

Samuel Olaniyi Bada, MD is an Internal Medicine in Jackson, Tennessee. Qualified in 1990, 36 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Tennessee.

Years since qualifying
36
Licensed in
TN
In the registry since
2006
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

1673 N Royal St
Jackson, TN 38301-3607
Phone: (731) 265-1997
Fax: (731) 265-0511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD34358 (TN)

Record details

NPI number1770530586
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 27, 2006
Last updated in NPPESOctober 2, 2012
Mailing address1673 N Royal St, Jackson, TN 38301-3607

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Also practisesEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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