Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1831692110 Individual Practitioner Female Practitioner

Anastacia P Modo , NP

Nurse Practitioner • Decatur, GA

Professional Overview & Biography Verified Profile Summary

Anastacia Modo, NP is a registered healthcare professional specializing in Nurse Practitioner in Decatur, GA. Practice services are available at 2496 COLUMBIA DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2496 Columbia Dr

Decatur, GA 300341769

Telephone 4045349222
Fax 4045349063
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Decatur, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.6 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
49 Specialists

Practicing in Decatur, GA (3149 Statewide)

Telehealth Adoption Rate
10.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-04-22
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License GA RN241610

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License GA 241610

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1417419482

PHYSICIANASSISTANT

Dr. Rhonda Ross , MD

Family Medicine

NPI 1437220852

Doctor of Medicine (M.D.)

Dr. Dalvin Lane , MD

Internal Medicine

NPI 1962620401

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location April 22, 2026

Registered at 2496 COLUMBIA DR, DECATUR, GA 300341769 (Tel: 4045349222)

👤
Provider Name / Credentials Updated April 22, 2026

Recorded as ANASTACIA MODO, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 11, 2019

Nurse Practitioner (License #RN241610 in GA)

NPI Profile Active March 13, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location March 13, 2018

Registered at 1810 MULKEY RD, AUSTELL, GA 301061151 (Tel: 6785407597)

📍
Updated Business Mailing Address March 13, 2018

Registered at 2704 HAYNESCREST DR, GRAYSON, GA 300174280 (Tel: 6788343828)

👤
Provider Name / Credentials Updated March 13, 2018

Recorded as ANASTACIA MODO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 13, 2018

Nurse Practitioner (License #241610 in GA)

🟢
Initial NPI Registration & Enumeration March 13, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1831692110
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 13, 2018
Last Update: April 22, 2026
Sole Proprietor: Yes

Mailing Address

2704 Haynescrest Dr

Grayson, GA 300174280

Phone: 6788343828

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.