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

Anastacia P Modo, NP

Individual provider Nurse Practitioner · NPI 1831692110

Anastacia P Modo, NP is a Nurse Practitioner in Decatur, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2018
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

2496 Columbia Dr
Decatur, GA 30034-1769
Phone: (404) 534-9222
Fax: (404) 534-9063
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN241610 (GA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 241610 (GA)

Record details

NPI number1831692110
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedMarch 13, 2018
Last updated in NPPESApril 22, 2026
Certification dateApril 22, 2026

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