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MISS MODUPE HARRIET AJISAFE M.D
NPI 1306632344
Family Medicine in Jackson, MS

Active since April 16, 2025PECOS Enrolled
DEPARTMENT OF FAMILY MEDICINE, 2500 N STATE ST, JACKSON, MS 39216(601) 984-5426 Get Directions Write a Review

NPPES record last updated: November 5, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Nov 5, 2025, Sep 18, 2025 (2 updates tracked since 2025).

About Miss Modupe Harriet Ajisafe M.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS MODUPE HARRIET AJISAFE M.D (NPI 1306632344) is an individual family medicine provider in Jackson, Mississippi, licensed in Mississippi (T5940) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306632344
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMISS MODUPE HARRIET AJISAFECredential: M.D
Location AddressDEPARTMENT OF FAMILY MEDICINE, 2500 N STATE STJackson, MS 39216
Mailing Address1855 Lakeland Dr Apt 415Jackson, MS 39216-0005 · (346) 370-2417
Phone(601) 984-5426
Sole ProprietorNo
Enumeration DateApril 16, 2025
Last NPPES UpdateNovember 5, 20252 updates tracked since enumeration
NPPES CertifiedNovember 5, 2025
✔ NPI 1306632344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MS · T5940
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
DEPARTMENT OF FAMILY MEDICINE, Jackson, MS 39216
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Modupe Harriet Ajisafe M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39216 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Modupe Ajisafe's NPI number?

The NPI number for Modupe Ajisafe is 1306632344. It was assigned to this individual provider in the NPPES registry on April 16, 2025.

Where is Modupe Ajisafe located?

Modupe Ajisafe practices at Department Of Family Medicine 2500 N State St, Jackson, MS 39216. The listed phone number is (601) 984-5426.

What is Modupe Ajisafe's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Modupe Ajisafe enrolled in Medicare?

Yes. Modupe Ajisafe is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Modupe Ajisafe was last updated on November 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.