P Praxis·MD
● Active Type 1 · Individual

DR. Modesta Makeh Tako, MD

Family Medicine·Atlanta, GA· NPI 1063410827 · Enumerated 2005 · 20 years on NPI
Tako is 1 of 469 family medicine providers in Atlanta and 1 of 5448 in Georgia.
NPI age
20 years
Enumerated 2005-07-14
Primary specialty
Family Medicine
Plus 1 subspecialty
Licensed in
GA, NY
2 states
Status
Active
No deactivations on record
Last NPPES update
2022-01-10
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 5448 active family medicine providers in Georgia.

NPI age
20 years
↑ 3 yr above median (17 yr)
State licenses
2 states
Top 87% — 12% of peers are multi-state
Subspecialties
0
26% of peers hold subspecialties

NPI lifetime · 2005 → 2026

2005-07Enumerated in NPPES
2005 2026

Where they practice

Practice location
1175 Cascade Pkwy Sw, Kaiser Permanente Cascade Memorial Center
Atlanta, GA 303113090
📞 4045054006fax 4046912382
Mailing address
3495 Piedmont Rd Ne, Nine Piedmont Center
Atlanta, GA 303051717
📞 4045045678fax 4046912382

Specialties

  • Family Medicine Primary
    Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of...
    GA license #073157NY license #246485 taxonomy 207Q00000X

Identifiers

TypeValueNotes
05 (NY) 02957371
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 18 other active providers share this practice address in NPPES.

Recently enumerated nearby: 5 new family medicine providers have been added in Atlanta in the last 180 days. See all →
Provyx · Custom healthcare lists

Need all 5448 Family Medicine providers in Georgia?

Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.

Request a quote →

How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

Related