Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mishari Primary Care and Aesthetics LLC

Organization Clinic/Center · NPI 1164375549

Mishari Primary Care and Aesthetics LLC is a Clinic/Center in Grayson, Georgia. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2704 Haynescrest Dr
Grayson, GA 30017-4280
Phone: (678) 834-3828
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X
Clinic/Center Taxonomy 261Q00000X

Record details

NPI number1164375549
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anastacia Modo — Owner · (678) 834-3828
NPI enumeratedFebruary 17, 2026
Last updated in NPPESFebruary 17, 2026
Certification dateFebruary 17, 2026
Mailing address2704 Haynescrest Dr, Grayson, GA 30017-4280

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