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

Dr. David Modlin, MD

Individual provider Plastic Surgery Physician · NPI 1558714139

Dr. David Modlin, MD is a Plastic and Reconstructive Surgery in Fort Gordon, Georgia. Qualified in 2016, 10 years ago. Licensed in Georgia.

Years since qualifying
10
Licensed in
GA
In the registry since
2016
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

300 E Hospital Road Plastic Surgery Ddeamc
Fort Gordon, GA 30905-5650
Phone: (706) 787-2567
Fax: (706) 787-2347
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence 079834 (GA)

Record details

NPI number1558714139
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 19, 2016
Last updated in NPPESOctober 17, 2025
Certification dateOctober 17, 2025
Mailing address300 East Hospital Road, Fort Gordon, GA 30905-5650

Medicare enrollment

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

Medicare specialtyPLASTIC AND RECONSTRUCTIVE SURGERY
Also practisesGENERAL SURGERY
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare