Individual provider Active NPI

Claudia B Latch, PA-C

  • Physician Assistant
  • Augusta, GA
National Provider Identifier
1093914475
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
005117 Issued in GA
Practice address
3686 Wheeler Rd
Augusta, GA 30909-6520
Phone
(706) 922-6300
Fax
(706) 922-6303
NPI assigned
Jul 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 005117 GA Primary

Addresses

Primary practice location

3686 Wheeler Rd
Augusta, GA 30909-6520

Mailing address

3686 Wheeler Rd
Augusta, GA 30909-6520
Phone (706) 922-6300

Other identifiers 4

IdentifierTypeStateIssuer
1077177OtherGANCCPA
407631325BMedicaidGA
005117OtherGAGEORGIA MEDICAL LICENSE
407631325AMedicaidGA

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
I20070815000439 GA Practitioner - Physician Assistant 3971695305 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3044 Peach Orchard Rd
Augusta, GA 30906-3518
Phone (706) 798-4673

3686 Wheeler Rd
Augusta, GA 30909-6520
Phone (706) 922-6300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
005117GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Med Now Urgent Care, LLC CurrentSince Jun 9, 2026 Accepting new patients
Urgent MD Healthcare Services, P.C. Past Accepting new patients
Medical Specialists, Inc Past Accepting new patients

Locations

2851 Washington Rd
Augusta, GA 30909
Phone (706) 922-6578

3686 Wheeler Rd
Augusta, GA 30909
Phone (706) 364-6471

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": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1093914475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3686 WHEELER RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096520",
            "telephone_number": "706-922-6300",
            "fax_number": "706-922-6303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3686 WHEELER RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096520",
            "telephone_number": "706-922-6300",
            "fax_number": "706-922-6303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATCH",
        "first_name": "CLAUDIA",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-16",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "005117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA",
            "identifier": "1077177",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "407631325B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA MEDICAL LICENSE",
            "identifier": "005117",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "407631325A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

Verify at the official NPI Registry.