DAMAZIO ODUSANYA MD
NPI 1841139128
Student in an Organized Health Care Education/Training Program in Tifton, GA
About Damazio Odusanya Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAMAZIO ODUSANYA MD (NPI 1841139128) is an individual student in an organized health care education/training program in Tifton, Georgia and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Damazio Odusanya Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TIFTON, GA 31794
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 Damazio Odusanya's NPI number?
The NPI number for Damazio Odusanya is 1841139128. It was assigned to this individual provider in the NPPES registry on March 25, 2026.
Where is Damazio Odusanya located?
Damazio Odusanya practices at 901 18th St E, Tifton, GA 31794. The listed phone number is (229) 382-7120.
What is Damazio Odusanya's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Damazio Odusanya enrolled in Medicare?
Yes. Damazio Odusanya is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Damazio Odusanya was last updated on March 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
