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MODISH BEAUTE LLC
NPI 1154020865
Prosthetic/Orthotic Supplier in Locust Grove, GA

Active since March 01, 2023
532 MOLINE WAY, LOCUST GROVE, GA 30248(321) 863-2589(321) 406-1325 Get Directions Write a Review

NPPES record last updated: March 1, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Modish Beaute Llc NPPES

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

MODISH BEAUTE LLC (NPI 1154020865) is a healthcare organization registered as a prosthetic/orthotic supplier in Locust Grove, Georgia and active in the NPI registry since March 2023. The organization lists Octavia Lyons, Manager, as its authorized official.

NPPES Registry Identity

NPI1154020865
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameMODISH BEAUTE LLC
Location Address532 MOLINE WAYLocust Grove, GA 30248-4471
Mailing Address532 Moline WayLocust Grove, GA 30248-4471 · (321) 863-2589 · Fax (321) 406-1325
Phone(321) 863-2589
Fax(321) 406-1325
Organization SubpartNo
Authorized OfficialOctavia LyonsManager · (321) 863-2589
Enumeration DateMarch 1, 2023
NPPES CertifiedMarch 1, 2023
✔ NPI 1154020865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
532 MOLINE WAY, Locust Grove, GA 30248
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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 Modish Beaute LLC's NPI number?

The NPI number for Modish Beaute LLC is 1154020865. It was assigned to this organization in the NPPES registry on March 1, 2023.

Where is Modish Beaute LLC located?

Modish Beaute LLC is located at 532 Moline Way, Locust Grove, GA 30248. The listed phone number is (321) 863-2589.

What is Modish Beaute LLC's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for Modish Beaute LLC was last updated on March 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.