Organization Active NPI

Modern Healthcare Services LLC

  • Family Nurse Practitioner
  • Lithia Springs, GA
National Provider Identifier
1093425563
Registry record updated Nov 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
MODERN HEALTHCARE SERVICES LLC
Practice address
7943 Hawks Nest TRL
Lithia Springs, GA 30122-7821
Phone
(678) 209-9338
NPI assigned
Nov 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2022

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

Authorized official

Name
Magdalene Oziwo, FNP-DNPNPI 1245688613
Title
Dr. Madgalene Oziwo
Phone
(678) 209-9338

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

7943 Hawks Nest TRL
Lithia Springs, GA 30122-7821

Mailing address

7943 Hawks Nest TRL
Lithia Springs, GA 30122-7821
Phone (678) 209-9338

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1669334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669334400000",
    "number": "1093425563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7943 HAWKS NEST TRL",
            "city": "LITHIA SPRINGS",
            "state": "GA",
            "postal_code": "301227821",
            "telephone_number": "678-209-9338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7943 HAWKS NEST TRL",
            "city": "LITHIA SPRINGS",
            "state": "GA",
            "postal_code": "301227821",
            "telephone_number": "678-209-9338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-25",
        "last_updated": "2022-11-25",
        "certification_date": "2022-11-25",
        "status": "A",
        "authorized_official_last_name": "OZIWO",
        "authorized_official_first_name": "MAGDALENE",
        "authorized_official_title_or_position": "DR. MADGALENE OZIWO",
        "authorized_official_telephone_number": "678-209-9338",
        "authorized_official_credential": "FNP-DNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lithia Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2022; 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.