Anil R Modi (NPI# 1508868704, PAC ID# 4587687611) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1508868704 |
| PAC ID by PECOS | 4587687611 |
| Professional Enrollment ID | I20060104000532 |
| Full Name | Anil R Modi |
| Address |
300 Medical Dr Suite 701 Lagrange GA 30240-4130 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1989 |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110016 | WEST GEORGIA MEDICAL CENTER, INC |
| Address | Phone | Organization |
|---|---|---|
| 300 Medical Dr, Suite 701, Lagrange, GA 30240-4130 |
| Street Address |
300 MEDICAL DR SUITE 701 |
| City | LAGRANGE |
| State | GA |
| Zip | 30240-4130 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shawn Bell Mathews | Otolaryngology | Wellstar Medical Group, LLC | 300 Medical Dr, Suite 705, Lagrange, GA 30240-4130 |
| Ravina Kadam | Internal Medicine | Wellstar Medical Group, LLC | 300 Medical Dr, Lagrange, GA 30240-4130 |
| Peter P Lee | Neurology | 300 Medical Dr, Suite 701, Lagrange, GA 30240-4130 | |
| Francye Largeman | Qualified Audiologist | Wellstar Medical Group, LLC | 300 Medical Dr, Lagrange, GA 30240-4130 |
| Julie Anne Farr | Nurse Practitioner | Wellstar Medical Group, LLC | 300 Medical Dr, Lagrange, GA 30240-4130 |
| John Michael Allen | General Surgery | Wellstar Medical Group, LLC | 300 Medical Dr, Suite 707, Lagrange, GA 30240-4130 |
| James K Jones | Otolaryngology | Wellstar Medical Group, LLC | 300 Medical Dr, Lagrange, GA 30240-4130 |
| Hope O Zachman | Physician Assistant | Wellstar Medical Group, LLC | 300 Medical Dr, Lagrange, GA 30240-4130 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Swaroop N Nyshadham | General Practice | 1990 Lukken Industrial Dr W, Suite C, Lagrange, GA 30240-1404 | |
| James B Brown | Optometry | 803 New Franklin Rd, Lagrange, GA 30240-1843 | |
| Stephan M Langston | Chiropractic | 403 Ridley Ave, Lagrange, GA 30240-2231 | |
| Shannon K Dunlap | Psychologist, Clinical | 610 Ridley Ave, Lagrange, GA 30240-2236 | |
| Ashley Miller | Nurse Practitioner | Georgia Pain and Spine Care, Inc | 303 Smith St, Fl 2, Lagrange, GA 30240-2745 |
| Kent Remley | Interventional Radiology | Georgia Pain and Spine Care, Inc | 303 Smith St, Fl 2, Lagrange, GA 30240-2745 |
| Jerry M Overall | Optometry | 208 Smith St, Lagrange, GA 30240-2755 | |
| Margaret Darden Brown | Clinical Social Worker | 100 Smith St, Suite 1, Lagrange, GA 30240-2780 | |
| James R Aspinwall | Chiropractic | Aspinwall Chiropractic Clinic, L.L.C. | 302 S Greenwood St, Lagrange, GA 30240-3122 |
| David P Dresselhaus | Chiropractic | Aspinwall Chiropractic Clinic, L.L.C. | 302 S Greenwood St, Lagrange, GA 30240-3122 |
| Find all physicians in zip 30240 | |||
| City | LAGRANGE |
| Zip Code | 30240 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | LAGRANGE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Anil R Modi.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.