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Derick Ogude, MD

Internal Medicine in Jackson, TN. Individual provider (NPI-1).

NPI number1063154367
StatusActive
Last updated in NPPESNov 9, 2026

Details

NPI
1063154367
Entity type
Individual (NPI-1)
Name
Derick Ogude
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Apr 8, 2022
Certification date
Nov 9, 2026
Last updated
Nov 9, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine74117TNYes
207R00000X Internal Medicine0101291349VA
390200000X Student in an Organized Health Care Education/Training Program––
208M00000X Hospitalist0101291349VA

Practice location

620 Skyline Dr
Jackson, TN 38301-3923

Phone 731-541-5000

Mailing address

257 Bancorp South Pkwy
Jackson, TN 38305-7582

Phone 731-660-8759 · Fax 731-660-8739

Other practice locations

100 Sentara Cir Rm 2c
Williamsburg, VA 23188-5713

Phone 757-984-7217 · Fax 757-984-7210

601 S 8th St
Griffin, GA 30224-4213

Phone 929-217-0632

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