Active NPI
Anne McClung Modi, CRNA
- Certified Registered Nurse Anesthetist
- Atlanta, GA
National Provider Identifier
1841228251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN042198
- Practice address
- 1140 Hammond Dr NE
Building F, Suite 6100
Atlanta, GA 30328-5338 - Phone
- (770) 645-9181
- Fax
- (770) 645-8455
- NPI assigned
- Jun 28, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN042198 | GA | Primary |
Addresses
Primary practice location
1140 Hammond Dr NE
Building F, Suite 6100
Atlanta, GA 30328-5338
Mailing address
3155 N Point Pkwy
Building F, Suite 100
Alpharetta, GA 30005-5481
Phone (770) 645-5117
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000885992A | Medicaid | GA |
Other names 1
- Martha Ann McClung Modi
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capitol Anesthesiology, PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Morrow, GA
- NPI 1245287192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254096000000",
"number": "1841228251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3155 N POINT PKWY",
"address_2": "BUILDING F, SUITE 100",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300055481",
"telephone_number": "770-645-5117",
"fax_number": "770-645-5120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1140 HAMMOND DR NE",
"address_2": "BUILDING F, SUITE 6100",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303285338",
"telephone_number": "770-645-9181",
"fax_number": "770-645-8455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MODI",
"first_name": "ANNE",
"middle_name": "MCCLUNG",
"name_prefix": "Mrs.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-28",
"last_updated": "2009-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "GA",
"license": "RN042198",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000885992A",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARTHA",
"last_name": "MCCLUNG MODI",
"middle_name": "ANN",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.