MISHARI PRIMARY CARE AND AESTHETICS LLC
NPI 1164375549
Clinic/Center - Primary Care in Grayson, GA

Q: What is Mishari Primary Care And Aesthetics LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since February 17, 2026

2704 HAYNESCREST DR, GRAYSON, GA 30017(678) 834-3828 Get Directions Write a Review

NPPES record last updated: February 17, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Mishari Primary Care And Aesthetics Llc NPPES

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

MISHARI PRIMARY CARE AND AESTHETICS LLC (NPI 1164375549) is a healthcare organization registered as a primary care in Grayson, Georgia and active in the NPI registry since February 2026. The organization lists Anastacia P Modo, Owner, as its authorized official.

NPPES Registry Identity

NPI1164375549

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameMISHARI PRIMARY CARE AND AESTHETICS LLC

Location Address2704 HAYNESCREST DRGrayson, GA 30017-4280

Mailing Address2704 Haynescrest DrGrayson, GA 30017-4280 · (678) 834-3828

Phone(678) 834-3828

Organization SubpartNo

Authorized OfficialAnastacia P ModoOwner · (678) 834-3828

Enumeration DateFebruary 17, 2026

NPPES CertifiedFebruary 17, 2026

✔ NPI 1164375549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

Also ListedClinic/CenterTaxonomy 261Q00000X

2704 HAYNESCREST DR, Grayson, GA 30017

Open in Google Maps ↗

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 Mishari Primary Care And Aesthetics LLC's NPI number?

The NPI number for Mishari Primary Care And Aesthetics LLC is 1164375549. It was assigned to this organization in the NPPES registry on February 17, 2026.

Where is Mishari Primary Care And Aesthetics LLC located?

Mishari Primary Care And Aesthetics LLC is located at 2704 Haynescrest Dr, Grayson, GA 30017. The listed phone number is (678) 834-3828.

What is Mishari Primary Care And Aesthetics LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Mishari Primary Care And Aesthetics LLC was last updated on February 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.