Anastacia P Modo, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN241610 Issued in GA

Practice address

2496 Columbia Dr
Decatur, GA 30034-1769

Phone

(404) 534-9222

Fax

(404) 534-9063

NPI assigned

Mar 13, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• True North Health Navigation LLC

  • Emergency Medicine Physician
  • Atlanta, GA
  • NPI 1578047536

  Single Specialty

  Medicare reassignment NPD
• Mishari Primary Care and Aesthetics LLC

  • Primary Care Clinic/Center
  • Grayson, GA
  • NPI 1164375549
  NPD Authorized official
• True North Health Navigation LLC

  • Emergency Medicine Physician
  • Denver, CO
  • NPI 1740622133

  Single Specialty

  NPD

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

{
    "created_epoch": "1520899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1831692110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2704 HAYNESCREST DR",
            "city": "GRAYSON",
            "state": "GA",
            "postal_code": "300174280",
            "telephone_number": "678-834-3828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2496 COLUMBIA DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300341769",
            "telephone_number": "404-534-9222",
            "fax_number": "404-534-9063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODO",
        "first_name": "ANASTACIA",
        "middle_name": "P",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-13",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN241610",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "241610",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Mizell, LPC, NCC
• Thomas J. Mizell, M.D.
• Abeer Moanna, M.D.
• Jennifer L Modi, MSW
• Jilka Modi, OD
• Christina Moffitt, LPC
• Behetrin Mohammed, PA-C
• Nisah Mohammed, PT, DPT
• Katherine Moise, DPT
• Belinda T Molina, RN

• Nurse Practitioner in Decatur, GA
• Providers in Decatur, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.