P Praxis·MD
● Active Type 1 · Individual

Alphonsus Maduwuba Agbaere, MT(ASCP)CLS(NCA)

Technician, Pathology·Decatur, GA· NPI 1760626279 · Enumerated 2009 · 17 years on NPI
Agbaere is 1 of 1 technician, pathology providers in Decatur and 1 of 48 in Georgia.
NPI age
17 years
Enumerated 2009-04-28
Primary specialty
Technician, Pathology
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2009-04-28
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 48 active technician, pathology providers in Georgia.

NPI age
17 years
↑ 14 yr above median (3 yr)
State licenses
1 state
0% of peers hold multiple states
Subspecialties
1
In the 31% of peers with subspecialties

NPI lifetime · 2009 → 2026

2009-04Enumerated in NPPES
2009 2026

Where they practice

Practice location
1670 Clairmont Rd
Decatur, GA 300334004
📞 4043216111
Mailing address
2222 Columbia Dr
Decatur, GA 300327206
📞 4042862838

Specialties

  • Technician, Pathology Primary
    An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.
    GA license #163311 taxonomy 247ZC0005X
  • Technician, Pathology
    Definition to come...
    GA license #163311 taxonomy 246RM2200X

Practice context

Part of a multi-provider practice. 1009 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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