Individual provider Active NPI

Kristin Latham

  • Family Nurse Practitioner
  • Savannah, GA
National Provider Identifier
1053044784
Registry record updated Jul 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN198598 Issued in GA
Practice address
4425 Paulsen St
Savannah, GA 31405-3662
Phone
(912) 355-6615
NPI assigned
Jul 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN198598 GA Primary

Addresses

Primary practice location

4425 Paulsen St
Savannah, GA 31405-3662

Mailing address

4425 Paulsen St
Savannah, GA 31405-3662
Phone (912) 355-6615

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230112001754 GA Practitioner - Nurse Practitioner 9335519107 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Effingham Orthopedic Practice, LLCGroup PAC ID 4385927771, 23 clinicians

Practice addresses (Care Compare)

1203 Gandy Dancer
Richmond Hill, GA 31324-8895
Phone (912) 355-6615

20 William Blakely Xing
Pooler, GA 31322-7043
Phone (912) 355-6615

4425 Paulsen St
Savannah, GA 31405-3637

4425 Paulsen St
Savannah, GA 31405-3662
Phone (912) 355-6615

4425 Paulsen St
Savannah, GA 31405-3663

4425 Paulsen St B
Savannah, GA 31405-3663
Phone (912) 355-6615

613 Towne Park Dr W
Suite 303 304
Rincon, GA 31326-5182
Phone (912) 355-6615

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
69.29 of 100Reported as group
Quality
54.82
Improvement activities
40
Cost
80.45

Merit-based Incentive Payment System (MIPS)

Final score
84 of 100Reported as group
Quality
65.06
Promoting interoperability
98
Improvement activities
40
Cost
83.28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN198598GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chatham Orthopaedic Associates, PA CurrentSince Aug 30, 2022 Accepting new patients
Chatham Orthopaedic Associates, PA CurrentSince Aug 30, 2022 Accepting new patients
Effingham Orthopedic Practice, LLC CurrentSince Mar 1, 2002 Accepting new patients

Locations

20 William Blakely Xing
Pooler, GA 31322

101 Saint Josephs Candler Dr
#1
Pooler, GA 31322

1203 Gandy Dancer
Richmond Hill, GA 31324
Phone (912) 355-6651

613 Towne Park Dr W
Ste 303
Rincon, GA 31326
Phone (912) 826-3111

613 Towne Park Dr W
Ste 303304
Rincon, GA 31326
Phone (912) 826-3111

4425 Paulsen St
Savannah, GA 31405
Phone (912) 354-5100

5353 Reynolds St
#4
Savannah, GA 31405

4425 Paulsen St
Fl 2
Savannah, GA 31405
Phone (912) 350-2820

4425 Paulsen St
Bldg A
Savannah, GA 31405
Phone (912) 350-6000

4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100

11705 Mercy Blvd
Savannah, GA 31419
Phone (912) 819-2452

4425 Paulsen St
Bldg B
Savannah, GA 31405

459 Highway 119 S
Springfield, GA 31329
Phone (912) 754-0200

Interoperability endpoints

  • Direct secure messaging: kristin.latham.2@18355.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1657324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657324800000",
    "number": "1053044784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 PAULSEN ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314053662",
            "telephone_number": "912-355-6615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 PAULSEN ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314053662",
            "telephone_number": "912-355-6615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATHAM",
        "first_name": "KRISTIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-09",
        "last_updated": "2022-07-09",
        "certification_date": "2022-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN198598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.