Abiola Olatundun Adagunodo, NURSE PRACTITIONER
NPI 1104683044ActiveIndividual· Nurse Practitioner, Family· Montgomery, AL
Nurse Practitioner, Family (NURSE PRACTITIONER) in Montgomery, Alabama, licensed in AL, with an NPI issued in March 2024. Enrolled in Medicare as practitioner - nurse practitioner and practitioner - nurse practitioner.
Overview
| NPI | 1104683044 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NURSE PRACTITIONER |
| Sole proprietor | No |
| NPI issued | Mar 5, 2024 |
| Last updated in NPPES | Mar 11, 2024 |
| Certified by provider | Mar 11, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | F02241228 | AL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (AL); Practitioner - Nurse Practitioner (GA); Practitioner - Nurse Practitioner (NC); Practitioner - Nurse Practitioner (TN) |
|---|
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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