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

Modupeola Brisibe

Individual provider Family Nurse Practitioner · NPI 1376993519

Modupeola Brisibe is a Nurse Practitioner in Marietta, Georgia. Qualified in 2015, 11 years ago. Practices with Iora Health Georgia PC, a 26-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
11
Licensed in
GA
In the registry since
2016
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

280 Cobb Pkwy S Ste 60
Marietta, GA 30060-6531
Phone: (888) 663-6331
Fax: (415) 252-7176
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 100 Piedmont Rd, Marietta, GA 30066-3636 — (866) 389-2727

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN192902 (GA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 192602 (GA)

Record details

NPI number1376993519
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 19, 2016
Last updated in NPPESApril 17, 2025
Certification dateApril 17, 2025
Mailing address2145 Wilmington Cir Ne, Marietta, GA 30062-1694

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Iora Health Georgia Pc — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Marietta