Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 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
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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

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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

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

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients103
Services billed 297 a service is one billed item, such as a visit, a test or a procedure
Average patient age74

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

Colleagues at Iora Health Georgia PC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 26 clinicians in the practice; 12 are shown here.

Other providers in Marietta