Emmanuel Delase Agbeti is a Family Medicine Physician practicing in Jackson, Mississippi. The National Provider Identifier (NPI) is #1124815352, which was assigned on April 22, 2025, and the registration record was last updated on August 14, 2025. The practitioner's main practice location is at 2500 North State Street, Jackson, MS 39216; the contact telephone number is 6019845426. The primary taxonomy of Emmanuel Delase Agbeti is Family Medicine Physician (207Q00000X). Emmanuel Delase Agbeti is licensed to practice in the state of Mississippi (#T-5939).
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.
| NPI | 1124815352 |
| Entity Type | Individual |
| Provider Name | MR. EMMANUEL DELASE AGBETI |
| Gender | Male |
| Credential | M.D |
| Practice Address |
2500 North State Street Jackson MS 39216 |
| Practice Telephone | 6019845426 |
| Mailing Address |
2500 North State Street Jackson MS 39216 |
| Enumeration Date | 2025-04-22 |
| Last Update Date | 2025-08-14 |
| Is Sole Proprietor | N |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| N | 390200000X | Student in an Organized Health Care Education/Training Program | ||||
| Y | 207Q00000X | Family Medicine | T-5939 | MS |
| Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| Classification | Family Medicine |
| Grouping | Allopathic & Osteopathic Physicians |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| Classification | Student in an Organized Health Care Education/Training Program |
| Grouping | Student, Health Care |
| Definition: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Vye Health Medical Services East PC | 971 Us Highway 202 N Ste N, Branchburg, NJ 08876-3757 | Family Medicine Physician | 2026-02-07 |
| Bliss Family Medicine PLLC | 550 W 125th Pl S Ste 300, Glenpool, OK 74033-5033 | Family Medicine Physician | 2026-02-07 |
| People-Centered Health PLLC | 3610 Avenue B, San Antonio, TX 78209-6508 | Family Medicine Physician | 2026-02-05 |
| Valor Health Group Medical Corporation | 41715 Winchester Rd, Temecula, CA 92590-4808 | Family Medicine Physician | 2026-02-06 |
| Natalie Pons · Natalie Quinn | 6651 Woodland Dr, Keystone Heights, FL 32656-9293 | Family Medicine Physician | 2026-02-06 |
| Tyler Lewis Stephenson | 812 Amherst St Ste 101, Winchester, VA 22601-3344 | Family Medicine Physician | 2026-02-05 |
| Good Health Medical, PLLC | 2908 N Campbell Ave, Tucson, AZ 85719-2876 | Family Medicine Physician | 2026-02-06 |
| Lyv Health PLLC | 367 W Watercress Dr, Saratoga Springs, UT 84045-5112 | Family Medicine Physician | 2026-02-06 |
| Packer Medical Office Maintenance | 9175 Guilford Rd, Columbia, MD 21046-1849 | Family Medicine Physician | 2026-02-05 |
| Vg Medical Practice Psc | Carr. 349 Km 2.9, Cerro Las Mesas, Mayaguez, PR 00680 | Family Medicine Physician | 2026-02-05 |
| Find all providers with the same taxonomy | |||
| Street Address |
2500 NORTH STATE STREET |
| City | JACKSON |
| State | MS |
| Zip Code | 39216 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Swathi Yarlagadda | 2500 North State Street, Jackson, MS 39216 | Anatomic Pathology & Clinical Pathology Physician | 2025-04-22 |
| Daniel Valente | 2500 North State Street, Jackson, MS 39216 | Pediatric Anesthesiology Physician | 2025-05-21 |
| Precious Chikezie Ozuomba | 2500 North State Street, Jackson, Ms, Jackson, MS 39216 | Family Medicine Physician | 2025-04-11 |
| Shankar Praharaju Girija Giri · G. Shankar Giri | 2500 North State Street, University of Ms Medical Center-Radiation Oncology, Jackson, MS 39216-4505 | Radiation Oncology Physician | 2006-08-19 |
| Nivedha Kosalram | 2500 North State Street, Jackson, MS 39216 | Student in an Organized Health Care Education/Training Program | 2025-06-10 |
| Fnu Samra Mariyam | 2500 North State Street, Department of Pathology, Jackson, MS 39216 | Anatomic Pathology & Clinical Pathology Physician | 2025-05-20 |
| Basim Ahmed Khan | 2500 North State Street, University of Mississippi Medical Center, Jackson, MS 39216 | Psychiatry Physician | 2021-05-18 |
| Jacob Moremen | 2500 North State Street, Jackson, MS 39216-4500 | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 2009-03-06 |
| Alexis Jalea Saynes Tiu | 2500 North State Street, Jackson, MS 39216 | Family Medicine Physician | 2025-04-18 |
| Ishaa Saleem Siddiqui | 2500 North State Street, Department of Pathology, Unive, Jackson, MS 39216 | Anatomic Pathology & Clinical Pathology Physician | 2025-04-11 |
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| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Mohamed Ghonim | 2500 N. State Street, Jackson, MS 39216 | Internal Medicine Physician | 2025-04-08 |
| Suneel Arwani | 2500 N. State St., Jackson, MS 39216 | Student in an Organized Health Care Education/Training Program | 2025-06-05 |
| Martha T. Rosen · Tillie Or Tilghman P. Rosen | 1855 Crane Ridge Drive, Jackson, MS 39216 | Clinical Social Worker | 2025-07-22 |
| Fatima Bhojani | 2500 N State St, Jackson, Ms 39216, Jackson, MS 39216 | Pediatric Radiology Physician | 2025-10-22 |
| Xin Qi | 971 Lakeland Dr Ste 557, Jackson, MS 39216 | Neurology Physician | 2015-03-27 |
| Modupe Harriet Ajisafe | Department of Family Medicine, 2500 N State St, Jackson, MS 39216 | Family Medicine Physician | 2025-04-16 |
| Marcus Berry | 3304 N State St Ste 201a, Jackson, MS 39216-3129 | Family Nurse Practitioner | 2019-03-20 |
| Kever Anthony Lewis | 2500 N State St, Department of Surgery, Jackson, MS 39216 | Surgery Physician | 2022-03-25 |
| Premier Behavioral Health of Jxn, PLLC | 3304 N State St Ste 201a, Jackson, MS 39216-3129 | Mental Health Clinic/Center (Including Community Mental Health Center) | 2025-06-12 |
| Nayan Agarwal | 2500 N State Street, Jackson, MS 39216 | Student in an Organized Health Care Education/Training Program | 2025-04-15 |
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| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Emmanuel T Kajoh | 440 W Parker Rd, Houston, TX 77091-3203 | Family Nurse Practitioner | 2017-01-19 |
| Emmanuel Owusu | 48 Dover Dr, Lindenwold, NJ 08021-6707 | Psychiatric/Mental Health Nurse Practitioner | 2021-06-01 |
| Emmanuel De Leon | 415 W Route 66 Ste 202, Glendora, CA 91740-4335 | Nurse Practitioner | 2022-09-19 |
| Emmanuel Martinez | 4014 Dalita Ct, Brownsville, TX 78521-4479 | Hospitalist Physician | 2018-03-07 |
| Emmanuel Ammanouil | One Boston Medical Center Place, Boston, MA 02118 | Student in an Organized Health Care Education/Training Program | 2025-03-07 |
| Emmanuel Rodriguez | 560 Cohasset Rd Ste 100, Chico, CA 95926-2490 | Adult Companion | 2022-02-18 |
| Emmanuel Emmanuel | 1191 Central Blvd Ste A, Brentwood, CA 94513-2253 | Behavior Technician | 2025-01-27 |
| Shannon Emmanuel | 53 Bridge St, Metuchen, NJ 08840-2278 | Clinical Social Worker | 2017-02-02 |
| Emmanuel C Okolo | 130 E Bardin Rd Ste 108, Arlington, TX 76018-1030 | Nurse Practitioner | 2019-08-27 |
| Emmanuel Li | 800 Stanton L Young Blvd, Oklahoma City, OK 73104-5018 | Student in an Organized Health Care Education/Training Program | 2025-06-05 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |