Active NPI
John Edward Latz Jr., M.D.
- Psychiatry Physician
- Catawba, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 35688
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013972025 | Medicaid | NC | |
| 8951130 | Medicaid | NC |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Monarch
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caldwell Memorial Hospital, Inc | Current | Accepting new patients | |
| Caldwell Memorial Hospital, Inc. | Psychiatry | Current | Accepting new patients |
| Monarch | Current | Accepting new patients | |
| Caldwell Memorial Hospital Inc. | Current | Accepting new patients | |
| Monarch | Current | 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.
-
- Psychosomatic Medicine Physician
- Mooresville, NC
- NPI 1568674752
Psychiatry
-
- Diagnostic Radiology Physician
- Lenoir, NC
- NPI 1255221180
-
- Community/Behavioral Health Agency
- Wilmington, NC
- NPI 1073267126
-
- Community/Behavioral Health Agency
- Albemarle, NC
- NPI 1972644334
-
- Mental Health Counselor
- Statesville, NC
- NPI 1437388766
-
- Psychologist
- Statesville, NC
- NPI 1679708721
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.