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MEDICAL CARE OF LAGRANGE, LLC
NPI 1104002799
Internal Medicine in Lagrange, GA

Active since January 14, 2008CLIA 11D1083567 · Waiver
300 MEDICAL DR, SUITE 701, LAGRANGE, GA 30240(706) 882-8971(706) 882-8991 Get Directions Write a Review

NPPES record last updated: March 4, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Medical Care Of Lagrange, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDICAL CARE OF LAGRANGE, LLC (NPI 1104002799) is a healthcare organization registered as an internal medicine in Lagrange, Georgia and active in the NPI registry since January 2008. The organization holds a CLIA Waiver certificate valid through May 5, 2028 and lists Debbie Morris, Business Office Mgr, as its authorized official.

NPPES Registry Identity

NPI1104002799
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMEDICAL CARE OF LAGRANGE, LLC
Location Address300 MEDICAL DR, SUITE 701Lagrange, GA 30240-4130
Mailing Address300 Medical Drive, Suite 701Lagrange, GA 30240 · (706) 882-8971 · Fax (706) 882-8991
Phone(706) 882-8971
Fax(706) 882-8991
Organization SubpartNo
Authorized OfficialDebbie MorrisBusiness Office Mgr · (706) 882-8971
Enumeration DateJanuary 14, 2008
Last NPPES UpdateMarch 4, 2008
✔ NPI 1104002799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 048066
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
300 MEDICAL DR, Lagrange, GA 30240
Open in Google Maps ↗

Other Identifiers 3

Medicaid00843873GGA
Medicare OSCAR/certification511G700125GA
Medicare UPINH07176GA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Medical Care Of Lagrange, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Medical Care Of Lagrange, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Anil Modi, MD
Internal Medicine
NPI 1508868704
300 MEDICAL DR SUITE 701
Lagrange, GA 30240
(706) 882-8971
✔ PECOS✔ Accepts Medicare0.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D1083567

Medical Care Of Lagrange LLC · Lagrange, GA
Active · expires May 5, 2028
CLIA Number11D1083567
Laboratory TypePhysician Office
Certificate Effective DateMay 6, 2026
Certificate Expiration DateMay 5, 2028
Laboratory DirectorAnil R. Modi
Laboratory Phone(706) 882-8971
Laboratory LocationMedical Care Of Lagrange LLC300 Medical Drive Suite 701, Lagrange, GA 30240
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Medical Care Of Lagrange, LLC's NPI number?

The NPI number for Medical Care Of Lagrange, LLC is 1104002799. It was assigned to this organization in the NPPES registry on January 14, 2008.

Where is Medical Care Of Lagrange, LLC located?

Medical Care Of Lagrange, LLC is located at 300 Medical Dr Suite 701, Lagrange, GA 30240. The listed phone number is (706) 882-8971.

What is Medical Care Of Lagrange, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Medical Care Of Lagrange, LLC enrolled in Medicare?

Yes. Medical Care Of Lagrange, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Medical Care Of Lagrange, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Medical Care Of Lagrange, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Medical Care Of Lagrange, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1083567) is associated with this NPI, valid through May 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Medical Care Of Lagrange, LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Medical Care Of Lagrange, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Medical Care Of Lagrange, LLC was last updated on March 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.