NPI age
19 years
Enumerated 2007-05-24
● Active
Type 1 · Individual
Samuel Adekunle Adefeyisan, MD
Adefeyisan is 1 of 4 anesthesiology providers in Grand Prairie and 1 of 6023 in Texas.
Primary specialty
Anesthesiology
Plus 6 subspecialties
Licensed in
GA, AL, SC
3 states
Status
Active
No deactivations on record
Last NPPES update
2024-12-16
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 6023 active anesthesiology providers in Texas.
NPI age
19 years
≈ at median (18 yr)
State licenses
3 states
Top 87% — 12% of peers are multi-state
Subspecialties
2
In the 31% of peers with subspecialties
NPI lifetime · 2007 → 2026
2007-05Enumerated in NPPES
2007
2026
Where they practice
Practice location
4314 Clayton St
Grand Prairie, TX 750523433
Mailing address
4314 Clayton St
Grand Prairie, TX 750523433
Additional practice locations
2 secondary locations on file with NPPES.
Location 2
7 Independence Pt Ste 300
Greenville, SC 296154569
Location 3
1325 Spring St
Greenwood, SC 296463860
Specialties
-
Anesthesiology PrimaryAn anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk...
-
PediatricsA pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
-
PediatricsA pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (SC) | Q46839 |
Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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