Anil R Modi, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

048066 Issued in GA

Practice address

300 Medical Dr
Suite 701
Lagrange, GA 30240-4130

Phone

(706) 882-8971

Fax

(706) 882-8991

NPI assigned

Jun 1, 2005

Last updated

May 28, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health Home health agency, Columbus, GA, CCN 117056
• West Georgia Home Care Home health agency, Lagrange, GA, CCN 117032
• Adoration Home Health Home health agency, Columbus, GA, CCN 117318
• Wellstar West Georgia Medical Center Hospital, Lagrange, GA, CCN 110016

Merit-based Incentive Payment System (MIPS)

Final score

93.93 of 100Reported as apm

Quality

82.14

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: amodi@mclagrange.directbygreenway.com
• Direct secure messaging: anil.modi@westgahealth.gadirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Medical Care of Lagrange, LLC

  • Internal Medicine Physician
  • Lagrange, GA
  • NPI 1104002799
  Medicare reassignment

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Chattahoochee Valley Home Health, LLC

  dba Centerwell Home Health

  • Home Health Agency
  • Columbus, GA
  • NPI 1184651531
  Care Compare affiliation
• Georgia Homecare of Harris, LLC

  dba Adoration Home Health

  • Home Health Agency
  • Columbus, GA
  • NPI 1245389824
  Care Compare affiliation
• West Georgia Medical Center, Inc.

  dba West Georgia Home Care

  • Home Health Agency
  • Lagrange, GA
  • NPI 1558594887
  Care Compare affiliation
• West Georgia Medical Center, Inc.

  dba WellStar West Georgia Medical Center

  • General Acute Care Hospital
  • Lagrange, GA
  • NPI 1821221144
  Care Compare affiliation

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1508868704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MEDICAL DR",
            "address_2": "SUITE 701",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404130",
            "telephone_number": "706-882-8971",
            "fax_number": "706-882-8971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MEDICAL DR",
            "address_2": "SUITE 701",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404130",
            "telephone_number": "706-882-8971",
            "fax_number": "706-882-8991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODI",
        "first_name": "ANIL",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "048066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00843873G",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Freustza Berthe Millien, PHARMD, RPH
• Tara W Milligan, DDS
• Van Millin, DO
• Mitchell and Oglesby Anesthesiologist Association PC (Moaa)
• Davin Mitchell, M.D.
• Duncan Leslie Moffitt, P.A.
• Thesselon Warren Monderson, MD
• Paula Monk, RPH
• Dennis Tyrone Montgomery, RPH
• Angela Montondo, LPC

• Internal Medicine Physician in Lagrange, GA
• Providers in Lagrange, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.