Individual provider Active NPI

John Edward Latz Jr., M.D.

  • Psychiatry Physician
  • Catawba, NC
National Provider Identifier
1013972025
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35688 Issued in NC
Practice address
106 4TH Ave SW
Catawba, NC 28609-8180
Phone
(704) 662-3270
Fax
(866) 824-9879
NPI assigned
Apr 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 35688 NC Primary

Addresses

Primary practice location

106 4TH Ave SW
Catawba, NC 28609-8180

Mailing address

106 4TH Ave SW
Catawba, NC 28609-8180
Phone (704) 662-3270

Other identifiers 2

IdentifierTypeStateIssuer
1013972025MedicaidNC
8951130MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100713000121 NC Practitioner - Psychiatry 7719019637 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Wake Forest University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MonarchGroup PAC ID 0244273852, 92 clinicians

Practice addresses (Care Compare)

103 A McAlpine LN
Laurinburg, NC 28352-4637
Phone (910) 277-2663

200 Godwin Ave
Suite C
Lumberton, NC 28358-3150
Phone (910) 674-4814

201 W Marion St
Suite 100
Shelby, NC 28150-5094
Phone (704) 476-4027

2505 Court Dr
Gastonia, NC 28054-2140
Phone (704) 842-6475

2693 Forest Hills Rd SW
Wilson, NC 27893-8611
Phone (252) 234-7800

3057 Freedom Dr
Charlotte, NC 28208-3859
Phone (704) 525-3255

319 Chapanoke Rd
Raleigh, NC 27603-3433

350 Pee Dee Ave
Suite 101
Albemarle, NC 28001-4945
Phone (704) 986-1522

4140 Cherry St
Winston Salem, NC 27105-2536
Phone (336) 306-9630

809 Tiffany Blvd
Rocky Mount, NC 27804-1812
Phone (252) 442-0333

820 Grimes Blvd
Lexington, NC 27292-7640
Phone (336) 224-6071

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Caldwell Memorial Hospital, Inc Current Accepting new patients
Caldwell Memorial Hospital, Inc. Psychiatry CurrentSince Jan 10, 2023 Accepting new patients
Monarch CurrentSince Jul 1, 2022 Accepting new patients
Caldwell Memorial Hospital Inc. CurrentSince Jan 10, 2023 Accepting new patients
Monarch CurrentSince Jul 1, 2022 Accepting new patients
Monarch Current Accepting new patients
Mental Health Provider Services LLC Past Accepting new patients
Carolinas Counseling Solutions Inc. Past Accepting new patients
Lake Norman Psychiatry & Counseling, PLLC Psychiatry Past Accepting new patients

Locations

350 Pee Dee Ave
Ste 101
Albemarle, NC 28001
Phone (704) 986-1522

401 Mulberry St SW
Ste 102
Lenoir, NC 28645
Phone (828) 757-6434

407 Mulberry St SW
Lenoir, NC 28645
Phone (828) 394-6720

321 Mulberry St SW
Lenoir, NC 28645
Phone (828) 757-5100

820 Grimes Blvd
Lexington, NC 27292
Phone (336) 224-6071

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1013972025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 4TH AVE SW",
            "city": "CATAWBA",
            "state": "NC",
            "postal_code": "286098180",
            "telephone_number": "704-662-3270",
            "fax_number": "866-824-9879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 4TH AVE SW",
            "city": "CATAWBA",
            "state": "NC",
            "postal_code": "286098180",
            "telephone_number": "704-662-3270",
            "fax_number": "866-824-9879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATZ",
        "first_name": "JOHN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "35688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013972025",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8951130",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Catawba, NC

Sources for this page

Verify at the official NPI Registry.