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

Anil R Modi, MD

Individual provider Internal Medicine Physician · NPI 1508868704

Anil R Modi, MD is an Internal Medicine in Lagrange, Georgia. Qualified in 1989, 37 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
37
Licensed in
GA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

300 Medical Dr Ste 701
Lagrange, GA 30240-4130
Phone: (706) 882-8971
Fax: (706) 882-8991
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 048066 (GA)

Record details

NPI number1508868704
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 1, 2005
Last updated in NPPESMay 28, 2024
Certification dateMay 28, 2024
Mailing address300 Medical Dr, Suite 701, Lagrange, GA 30240-4130

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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