1. Home
  2. Directory
  3. Georgia
  4. Decatur
  5. Nurse Practitioner
  6. NPI Profile

ANASTACIA P MODO NP
NPI 1831692110
Nurse Practitioner in Decatur, GA

Active since March 13, 2018PECOS Enrolled
2496 COLUMBIA DR, DECATUR, GA 30034(404) 534-9222(404) 534-9063 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 22, 2026, Dec 11, 2019, Mar 13, 2018 (3 updates tracked since 2018).

About Anastacia P Modo Np NPPES

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

ANASTACIA P MODO NP (NPI 1831692110) is an individual nurse practitioner in Decatur, Georgia, licensed in Georgia (RN241610) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831692110
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameANASTACIA P MODOCredential: NP
Location Address2496 COLUMBIA DRDecatur, GA 30034-1769
Mailing Address2704 Haynescrest DrGrayson, GA 30017-4280 · (678) 834-3828
Phone(404) 534-9222
Fax(404) 534-9063
Sole ProprietorYes
Enumeration DateMarch 13, 2018
Last NPPES UpdateApril 22, 20263 updates tracked since enumeration
NPPES CertifiedApril 22, 2026
✔ NPI 1831692110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in GA · RN241610
Definition
(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.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 241610 (GA)
2496 COLUMBIA DR, Decatur, GA 30034
Open in Google Maps ↗

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anastacia P Modo Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30034 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DHARA PATEL PHYSICIAN ASSISTANT
Physician Assistant
2496 COLUMBIA DR
DECATUR, GA 30034
Dekalb County (404) 534-9222
RHONDA R ROSS MD
Family Medicine
2496 COLUMBIA DR
DECATUR, GA 30034
Dekalb County (404) 534-9222
DR. DALVIN ROJHOTTE LANE M.D.
Internal Medicine
2496 COLUMBIA DR
DECATUR, GA 30034
Dekalb County (404) 534-9222

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 Anastacia Modo's NPI number?

The NPI number for Anastacia Modo is 1831692110. It was assigned to this individual provider in the NPPES registry on March 13, 2018.

Where is Anastacia Modo located?

Anastacia Modo practices at 2496 Columbia Dr, Decatur, GA 30034. The listed phone number is (404) 534-9222.

What is Anastacia Modo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Anastacia Modo enrolled in Medicare?

Yes. Anastacia Modo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Anastacia Modo was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.