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: July 19, 2026.

  • Individual
  • Female
  • Nurse Practitioner
  • Pediatrics

About LORI MODLY

This page provides the complete NPI Profile along with additional information for Lori Modly, a provider established in Gainesville, Georgia with a medical specialization in Nurse Practitioner, focusing in pediatrics . The healthcare provider is registered in the NPI registry with number 1871860692 assigned on November 2011. The practitioner's primary taxonomy code is 363LP0200X with license number RN201247 (GA). The provider is registered as an individual and her NPI record was last updated 14 years ago.

NPI
1871860692 Verify this NPI
Provider Name
LORI ANGELEENE MODLY CPNP
Other Name
LORI ANGELEENE O'SHEA CPNP
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
743 SPRING ST NE GAINESVILLE, GA 30501
Location Phone
(770) 535-3611
Location Fax
(770) 535-7092
Mailing Address
PO BOX 658 GAINESVILLE, GA 30503
Mailing Phone
(770) 718-1122
Mailing Fax
(770) 535-7445
Is Sole Proprietor?
No
Enumeration Date
11-22-2011
Last Update Date
02-28-2012
Code Navigator

A nurse practitioner (NP) like Lori Modly is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Pediatrics

Taxonomy Code
363LP0200X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
RN201247
License State
GA

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
01467542OTHER (01)GAAMERIGROUP
202I503620MEDICARE PIN (08)GA 
643406OTHER (01)GAWELLCARE
003116595AMEDICAID (05)GA 

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Emergency Medicine
743 SPRING ST NE
GAINESVILLE, GA 30501
Hospitalist
743 SPRING ST NE
GAINESVILLE, GA 30501
Pediatrics (Neonatal-Perinatal Medicine)
743 SPRING ST NE
GAINESVILLE, GA 30501
Emergency Medicine
743 SPRING ST NE
GAINESVILLE, GA 30501
Emergency Medicine
743 SPRING ST NE
GAINESVILLE, GA 30501
Emergency Medicine
743 SPRING ST NE
GAINESVILLE, GA 30501
Emergency Medicine
743 SPRING ST NE
GAINESVILLE, GA 30501
Emergency Medicine
743 SPRING ST NE
GAINESVILLE, GA 30501
Emergency Medicine
743 SPRING ST NE
GAINESVILLE, GA 30501
Emergency Medicine
743 SPRING ST NE
GAINESVILLE, GA 30501
Emergency Medicine
743 SPRING ST NE
GAINESVILLE, GA 30501
Emergency Medicine
743 SPRING ST NE
GAINESVILLE, GA 30501
Emergency Medicine
743 SPRING ST NE
GAINESVILLE, GA 30501
Emergency Medicine
743 SPRING ST NE
GAINESVILLE, GA 30501
Emergency Medicine
743 SPRING ST NE
GAINESVILLE, GA 30501
Anesthesiology
743 SPRING ST NE
GAINESVILLE, GA 30501
Anesthesiology
743 SPRING ST NE
GAINESVILLE, GA 30501
Anesthesiologist Assistant
743 SPRING ST NE
GAINESVILLE, GA 30501
Anesthesiologist Assistant
743 SPRING ST NE
GAINESVILLE, GA 30501
Anesthesiologist Assistant
743 SPRING ST NE
GAINESVILLE, GA 30501

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871860692, enumerated as an "individual" on November 22, 2011.

The provider is located at 743 SPRING ST NE GAINESVILLE, GA 30501 and the phone number is (770) 535-3611.

Nurse Practitioner with taxonomy code 363LP0200X and a focus in Pediatrics.

The provider might be accepting Accepts: Amerigroup, Medicare, Medicaid and Wellcare. Please consult your insurance carrier or call the provider to verify.