Individual provider Active NPI

Latashia J Webb, DPM

  • Foot Surgery Podiatrist
  • Cumming, GA
National Provider Identifier
1063522142
Registry record updated Jul 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
POD001091 Issued in GA
Practice address
2450 Atlanta Hwy
402
Cumming, GA 30040-8099
Phone
(678) 807-8320
Fax
(678) 456-8650
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X POD001091 GA Primary

Addresses

Primary practice location

2450 Atlanta Hwy
402
Cumming, GA 30040-8099

Mailing address

2907I Watson Blvd # 184
Warner Robins, GA 31093-8535
Phone (229) 588-6843

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
POD001091GAMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Choice Podiatry Center, Inc. Foot Surgery PastSince Aug 1, 2018 Accepting new patients
Comprehensive Foot and Ankle Center,LLC PastSince May 10, 2011 Accepting new patients
Aggeus Healthcare, P.C. Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341273600000",
    "number": "1063522142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2907I WATSON BLVD # 184",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310938535",
            "telephone_number": "229-588-6843",
            "fax_number": "678-456-8650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 ATLANTA HWY",
            "address_2": "402",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300408099",
            "telephone_number": "678-807-8320",
            "fax_number": "678-456-8650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBB",
        "first_name": "LATASHIA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2012-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "GA",
            "license": "POD001091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.