Modify Health Inc

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Legal business name

MODIFY HEALTH INC

Practice address

190 Bluegrass Valley Pkwy
Alpharetta, GA 30005-2204

Phone

(888) 766-3439

NPI assigned

Oct 1, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. George Pratt

Title

Ceo

Phone

(770) 519-5503

Specialties & licenses 4

Addresses

Other names 2

• Modify Health Doing business as
• ModifyHealth Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1633046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723420800000",
    "number": "1063184737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 BLUEGRASS VALLEY PKWY",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300052204",
            "telephone_number": "888-766-3439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 BLUEGRASS VALLEY PKWY",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300052204",
            "telephone_number": "888-766-3439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODIFY HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-01",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A",
        "authorized_official_last_name": "PRATT",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-519-5503",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Modify Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Modify Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ModifyHealth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shapour Mobasser, M.D.
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• Silki Pankajkumar Modi, MD
• Edward A Modzeleski, CACII, CCS
• Fred T Moeller, L.P.C.
• Kristen N Moeller
• Mahdi Mofazali
• Anam Moghni, CCC-SLP

• Community Health Worker in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Community Health Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.