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Modupe Ajisafe, M.D
NPI 1306632344 · Family Medicine Physician · Jackson, MS
Modupe Ajisafe, M.D is a Family Medicine Physician provider in Jackson, MS (NPI 1306632344).
Provider details
- NPI number
- 1306632344
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D
- Sex
- Female
- Sole proprietor
- No
- License
- T5940 (MS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Department of Family Medicine
2500 N State St
Jackson, MS 39216
Phone: (601) 984-5426
Approximate (ZIP-level) locationGet directions
Mailing address
1855 Lakeland Dr Apt 415
Jackson, MS 39216-0005
Registry dates
- Enumerated
- 2025-04-16
- Last updated
- 2025-11-05
- Certified
- 2025-11-05
Frequently asked questions
- What is Modupe Ajisafe's NPI number?
- Modupe Ajisafe's National Provider Identifier (NPI) is 1306632344, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Modupe Ajisafe's specialty?
- Modupe Ajisafe is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Modupe Ajisafe located?
- Modupe Ajisafe's practice location on file with NPPES is Department of Family Medicine, Jackson, MS 39216.
- What is Modupe Ajisafe's phone number?
- The practice phone number listed in the NPPES registry for Modupe Ajisafe is (601) 984-5426.
- Is Modupe Ajisafe's NPI active?
- Yes — Modupe Ajisafe's NPI (1306632344) is active in the NPPES registry as of the last update on 2025-11-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.