Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1871860692 Individual Practitioner Female Practitioner

Lori Angeleene Modly , CPNP

Nurse Practitioner - Pediatrics • Gainesville, GA

Professional Overview & Biography Verified Profile Summary

Lori Modly, CPNP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Gainesville, GA. Practice services are available at 743 SPRING ST NE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

743 Spring St Ne

Gainesville, GA 305013715

Telephone 7705353611
Fax 7705357092
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Gainesville, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 7.3 Yrs
Regional Practice Density
15 Specialists

Practicing in Gainesville, GA (929 Statewide)

Telehealth Adoption Rate
0.0% 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

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License GA RN201247

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
003116595A (GA)
Commercial Insurance / Payer ID Amerigroup
01467542 (GA)
Commercial Insurance / Payer ID Wellcare
643406 (GA)

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1043290307

Doctor of Medicine (M.D.)

NPI 1053391979

Doctor of Medicine (M.D.)

Julie Chapman , PA

Physician Assistant - Medical

NPI 1073550059

Physician Assistant

NPI 1073730032

Registered Nurse, Master of Science, Certified Pediatric Nurse Practitioner, NNPBC

Stephanie Debski , NNP-BC

Nurse Practitioner - Neonatal, Critical Care

NPI 1083056931

NNPBC

Marisa Breen

Nurse Practitioner - Acute Care

NPI 1083240154

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active February 28, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location February 28, 2012

Registered at 743 SPRING ST NE, GAINESVILLE, GA 305013715 (Tel: 7705353611)

📍
Updated Business Mailing Address February 28, 2012

Registered at PO BOX 658, GAINESVILLE, GA 305030658 (Tel: 7707181122)

👤
Provider Name / Credentials Updated February 28, 2012

Recorded as LORI MODLY, CPNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 28, 2012

Nurse Practitioner (License #RN201247 in GA)

🟢
Initial NPI Registration & Enumeration November 22, 2011

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: 1871860692
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 22, 2011
Last Update: February 28, 2012
Sole Proprietor: No

Mailing Address

Po Box 658

Gainesville, GA 305030658

Phone: 7707181122

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.