P Praxis·MD
● Active Type 2 · Organization

Modish Beaute Llc

Prosthetic/Orthotic Supplier·Locust Grove, GA· NPI 1154020865 · Enumerated 2023 · 3 years on NPI
Modish Beaute Llc is 1 of 408 prosthetic/orthotic supplier organizations in Georgia.
NPI age
3 years
Enumerated 2023-03-01
Primary specialty
Prosthetic/Orthotic Supplier
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Lyons
Manager
Last NPPES update
2023-03-01
Source: monthly bulk 2026-05

How this organization compares

Across 408 active prosthetic/orthotic supplier providers in Georgia.

NPI age
3 years
↓ 8 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2023 → 2026

2023-03Enumerated in NPPES
2023 2026

Where they practice

Primary practice location
532 Moline Way
Locust Grove, GA 302484471
📞 3218632589fax 3214061325
Mailing address
532 Moline Way
Locust Grove, GA 302484471
📞 3218632589fax 3214061325

Authorized official

Octavia Lyons
Manager
📞 3218632589

Specialties

  • Prosthetic/Orthotic Supplier Primary
    An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring...
    taxonomy 335E00000X

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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