Cardiovascular Clinic of West Tn PC
NPI 1740480961ActiveOrganization· Internal Medicine, Cardiovascular Disease· Jackson, TN
Internal Medicine, Cardiovascular Disease in Jackson, Tennessee, registered in NPPES in July 2007. The authorized official on file is Adeyinka Adeboryo Agbetoyin, MD, Cardiologist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1740480961 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 25, 2007 |
| Last updated in NPPES | Dec 10, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Cardiovascular Disease Primary | 207RC0000X | 36918 | TN |
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 Part B Supplier - Clinic/Group Practice (TN) |
|---|
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