| NPI | 1184060113 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2013-05-16 |
| Last Updated | 2025-08-19 |
| Mailing Address | 5 Lake Pointe Dr Jackson, TN 38305-8114 United States Phone: (862) 218-1451 | Fax: (731) 337-4508 📍 View Map |
| Primary Practice Address | 30 Sandstone Cir Jackson, TN 38305-2073 United States Phone: (731) 240-1695 | Fax: (731) 240-1694 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | TN | Q020952 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 101YM0800X – Counselor, Mental Health | - | - |
| No | 2084A0401X – Psychiatry & Neurology, Addiction Medicine | TN | 53871 |
| No | 2084B0040X – Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry | TN | 53871 |
| No | 2084P0804X – Psychiatry & Neurology, Child & Adolescent Psychiatry | TN | 53871 |
| Yes | 2084P0800X – Psychiatry & Neurology, Psychiatry | TN | 53871 |
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About NPI 1184060113
Sylvester Agorua Nwedo MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1184060113. The primary specialty listed is Psychiatry & Neurology, Psychiatry. The provider is located in Jackson, TN. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2013-05-16. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1184060113?
NPI 1184060113 belongs to Sylvester Agorua Nwedo MD, a Psychiatry & Neurology, Psychiatry in Jackson, TN. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1184060113 active?
The current status of NPI 1184060113 in the NPPES registry is Active. The record was last updated on 2025-08-19.
What specialty is NPI 1184060113?
NPI 1184060113 is classified under the taxonomy Psychiatry & Neurology, Psychiatry. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1184060113?
You can verify NPI 1184060113 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1184060113?
The primary practice address on file for NPI 1184060113 is 30 Sandstone Cir, Jackson, TN 38305-2073. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1184060113 issued?
NPI 1184060113 was first issued (enumerated) on 2013-05-16. The NPPES record was last updated on 2025-08-19.
Practice Location Map
Sylvester Agorua Nwedo is located at 30 Sandstone Cir, Jackson, TN. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Sylvester Agorua Nwedo. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1184060113. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Psychiatry & Neurology, Addiction Medicine | 53871 | TN |
| Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry | 53871 | TN |
| Psychiatry & Neurology, Child & Adolescent Psychiatry | 53871 | TN |
| Psychiatry & Neurology, Psychiatry | 53871 | TN |