NPI age
14 years
Enumerated 2011-11-22
● Active
Type 1 · Individual
Lori Angeleene Modly, CPNP
Modly is 1 of 15 nurse practitioner providers in Gainesville and 1 of 929 in Georgia.
Primary specialty
Nurse Practitioner
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2012-02-28
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 929 active nurse practitioner providers in Georgia.
NPI age
14 years
↑ 4 yr above median (10 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
0
19% of peers hold subspecialties
NPI lifetime · 2011 → 2026
2011-11Enumerated in NPPES
2011
2026
Where they practice
Practice location
743 Spring St Ne
Gainesville, GA 305013715
Mailing address
Po Box 658
Gainesville, GA 305030658
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 01467542 | AMERIGROUP |
| 01 (GA) | 643406 | WELLCARE |
| 05 (GA) | 003116595A |
Practice context
Part of a multi-provider practice. 689 other active providers share this practice address in NPPES.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.