OrganizationActive
Modish Beaute LLC
NPI 1154020865 · Prosthetic/Orthotic Supplier · Locust Grove, GA
Modish Beaute LLC is a Prosthetic/Orthotic Supplier organization in Locust Grove, GA (NPI 1154020865).
Provider details
- NPI number
- 1154020865
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Octavia Lyons, Manager(321) 863-2589
Specialties & taxonomies
Suppliers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
532 Moline Way
Locust Grove, GA 30248-4471
Phone: (321) 863-2589
Fax: (321) 406-1325
Street-level locationGet directions
Mailing address
532 Moline Way
Locust Grove, GA 30248-4471
Registry dates
- Enumerated
- 2023-03-01
- Last updated
- 2023-03-01
- Certified
- 2023-03-01
Frequently asked questions
- What is Modish Beaute LLC's NPI number?
- Modish Beaute LLC's National Provider Identifier (NPI) is 1154020865, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Modish Beaute LLC?
- Modish Beaute LLC is classified in the NPPES registry as Prosthetic/Orthotic Supplier (Suppliers).
- Where is Modish Beaute LLC located?
- Modish Beaute LLC's practice location on file with NPPES is 532 Moline Way, Locust Grove, GA 30248-4471.
- What is Modish Beaute LLC's phone number?
- The practice phone number listed in the NPPES registry for Modish Beaute LLC is (321) 863-2589.
- Who is the authorized official for Modish Beaute LLC?
- The authorized official listed on Modish Beaute LLC's NPPES record is Octavia Lyons, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Modish Beaute LLC's NPI active?
- Yes — Modish Beaute LLC's NPI (1154020865) is active in the NPPES registry as of the last update on 2023-03-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.