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DR. IYANUJESU ADERETI MBCHB
NPI 1013667278
Student in an Organized Health Care Education/Training Program in Atlanta, GA

Active since March 28, 2022PECOS Enrolled
12 EXECUTIVE PARK DR NE STE 200, ATLANTA, GA 30329(404) 712-6934 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Iyanujesu Adereti Mbchb NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. IYANUJESU ADERETI MBCHB (NPI 1013667278) is an individual student in an organized health care education/training program in Atlanta, Georgia and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013667278
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. IYANUJESU ADERETICredential: MBCHB
Location Address12 EXECUTIVE PARK DR NE STE 200Atlanta, GA 30329-2206
Mailing Address12 Executive Park Dr Ne Ste 200Atlanta, GA 30329-2206 · (404) 712-6934
Phone(404) 712-6934
Sole ProprietorNo
Enumeration DateMarch 28, 2022
Last NPPES UpdateJune 16, 2025
NPPES CertifiedJune 16, 2025
✔ NPI 1013667278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
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.

12 EXECUTIVE PARK DR NE STE 200, Atlanta, GA 30329
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Iyanujesu Adereti Mbchb is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. BIANCA MARKS MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
12 EXECUTIVE PARK DR NE STE 200
ATLANTA, GA 30329
Dekalb County (404) 712-6934
MILENA HIRATA ARMANI MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
12 EXECUTIVE PARK DR NE STE 200
ATLANTA, GA 30329
Dekalb County (404) 778-5526
DR. ANOOP SINGH TAKHER DO
Psychiatry & Neurology (Child & Adolescent Psychiatry)
12 EXECUTIVE PARK DR NE STE 200
ATLANTA, GA 30329
Dekalb County (630) 340-2340
DR. WILLIAM RILEY POWERS MD
Psychiatry & Neurology (Psychiatry)
12 EXECUTIVE PARK DR NE STE 200
ATLANTA, GA 30329
Dekalb County (404) 778-5526

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Iyanujesu Adereti's NPI number?

The NPI number for Iyanujesu Adereti is 1013667278. It was assigned to this individual provider in the NPPES registry on March 28, 2022.

Where is Iyanujesu Adereti located?

Iyanujesu Adereti practices at 12 Executive Park Dr NE Ste 200, Atlanta, GA 30329. The listed phone number is (404) 712-6934.

What is Iyanujesu Adereti's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Iyanujesu Adereti enrolled in Medicare?

Yes. Iyanujesu Adereti is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Iyanujesu Adereti was last updated on June 16, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.