NPI 1184085235 · live from the CMS NPI Registry
Charles Ayo Adedara, MD
Family Medicine in Jackson, MS. National Provider Identifier 1184085235, active.
NPI record
| NPI | 1184085235 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 2500 N State St, Jackson, MS 39216 |
| Practice phone | 347-659-2361 |
| Enumerated | March 17, 2016 |
| Last updated | July 23, 2026 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist | 225100000X | 039952 (NY) |
| Family Medicine primary | 207Q00000X | T-5357 (MS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.