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LORI ANGELEENE MODLY CPNP
NPI 1871860692
Nurse Practitioner - Pediatrics in Gainesville, GA

Active since November 22, 2011
743 SPRING ST NE, GAINESVILLE, GA 30501(770) 535-3611(770) 535-7092 Get Directions Write a Review

NPPES record last updated: February 28, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Lori Angeleene Modly Cpnp NPPES

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

LORI ANGELEENE MODLY CPNP (NPI 1871860692) is an individual pediatrics provider in Gainesville, Georgia, licensed in Georgia (RN201247) and active in the NPI registry since November 2011.

NPPES Registry Identity

NPI1871860692
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameLORI ANGELEENE MODLYCredential: CPNP
Location Address743 SPRING ST NEGainesville, GA 30501-3715
Mailing AddressPo Box 658Gainesville, GA 30503-0658 · (770) 718-1122 · Fax (770) 535-7445
Phone(770) 535-3611
Fax(770) 535-7092
Sole ProprietorNo
Enumeration DateNovember 22, 2011
Last NPPES UpdateFebruary 28, 2012
✔ NPI 1871860692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in GA · RN201247
743 SPRING ST NE, Gainesville, GA 30501
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Other Names 1

Former Name (1)Lori Angeleene O'shea Cpnp

Other Identifiers 4

Other01467542GA · Amerigroup
Medicare PIN202I503620GA
Other643406GA · Wellcare
Medicaid003116595AGA

Other Providers at the Same Location NPPES 20

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

DARRYL E BLALOCK CRNA
Nurse Anesthetist, Certified Registered
743 SPRING ST NE
GAINESVILLE, GA 30501
Hall County (770) 532-7179
JACOB LEEDEKERKEN
Emergency Medicine
743 SPRING ST NE
GAINESVILLE, GA 30501
Hall County (770) 219-1200
ANELA D PEARSON AGACNP-BC
Nurse Practitioner (Gerontology)
743 SPRING ST NE
GAINESVILLE, GA 30501
Hall County (770) 534-2020
DR. SHARANI UMAYANGANI JAYARATNE MD
Emergency Medicine
743 SPRING ST NE
GAINESVILLE, GA 30501
Hall County (770) 219-1200
JUSTINA LI VEGA PA-C
Physician Assistant (Surgical)
743 SPRING ST NE
GAINESVILLE, GA 30501
Hall County (770) 533-7288
RACHAEL PHLIPOT CAA
Anesthesiologist Assistant
743 SPRING ST NE
GAINESVILLE, GA 30501
Hall County (770) 532-7179
DR. KEITH EDWIN LEAP II MD
Emergency Medicine
743 SPRING ST NE
GAINESVILLE, GA 30501
Hall County (786) 357-9327
CHRISTINE D LALLOS MD
Anesthesiology (Critical Care Medicine)
743 SPRING ST NE
GAINESVILLE, GA 30501
Hall County (770) 219-9000

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 Lori Modly's NPI number?

The NPI number for Lori Modly is 1871860692. It was assigned to this individual provider in the NPPES registry on November 22, 2011. The provider is also known as Lori Angeleene O'shea Cpnp.

Where is Lori Modly located?

Lori Modly practices at 743 Spring St NE, Gainesville, GA 30501. The listed phone number is (770) 535-3611.

What is Lori Modly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Lori Modly was last updated on February 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.