● Active Type 1 · Individual

Iyare E Izevbaye, MBBS

Pathology·Atlanta, GA· NPI 1720212814 · Enumerated 2009 · 17 years on NPI

Izevbaye is 1 of 4 pathology providers in Atlanta and 1 of 4 in Georgia.

NPI age

17 years

Enumerated 2009-05-05

Primary specialty

Pathology

Plus 4 subspecialties

Licensed in

GA, MN

2 states

Status

Active

No deactivations on record

Last NPPES update

2022-06-06

Source: monthly bulk 2026-05

Sole proprietor

May be part of a larger org

How this provider compares

Across 4 active pathology providers in Georgia.

NPI age

17 years

↑ 4 yr above median (13 yr)

State licenses

2 states

Top 50% — 50% of peers are multi-state

Subspecialties

In the 75% of peers with subspecialties

NPI lifetime · 2009 → 2026

2009-05Enumerated in NPPES

2009 2026

Where they practice

Practice location

80 Jesse Hill JR Dr Se

Atlanta, GA 303033031

📞 7809837765

Mailing address

321 Buchanan Way Nw

Edmonton, AL T6G2B7

Additional practice locations

1 secondary location on file with NPPES.

Location 2

200 1st St Sw

Rochester, MN 559050001

📞 5072842511

Specialties

Allopathic & Osteopathic Physicians › Pathology

Pathology Primary

A molecular genetic pathologist is expert in the principles, theory and technologies of molecular biology and molecular genetics. This expertise is used to make or confirm diagnoses of Mendelian genetic disorders, disorders of human...

GA license #91802MN license #105698MN license #54450 taxonomy 207ZP0007X
Student in an Organized Health Care Education/Training Program

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.

taxonomy 390200000X

Identifiers

Type	Value	Notes
05 (MN)	ENROLLED
05 (IA)	ENROLLED

Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 851 other active providers share this practice address in NPPES.

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How to verify this provider

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.
Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.