Individual provider Active NPI

Latifah Quanah Jeter, FNP-C

  • Family Nurse Practitioner
  • Concord, NC
National Provider Identifier
1184381659
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5015942 Issued in NC
Practice address
200 Medical Park Dr Ste 550
Concord, NC 28025-0947
Phone
(704) 403-1036
NPI assigned
Nov 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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 5015942 NC Primary

Addresses

Primary practice location

200 Medical Park Dr Ste 550
Concord, NC 28025-0947

Mailing address

3069 Light Ridge CT SW
Concord, NC 28027-8989
Phone (704) 930-3145

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220909000235 NC Practitioner - Nurse Practitioner 3870977960 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Georgetown University School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolinas Physicians Network IncGroup PAC ID 3375449655, 2,324 clinicians
M Medical NC PLLCGroup PAC ID 3870035066, 32 clinicians
Physicians Eldercare PAGroup PAC ID 0648184705, 236 clinicians
Curana Health of North Carolina PLLCGroup PAC ID 1850774332, 274 clinicians
Vitae Health Medical North Carolina PLLCGroup PAC ID 7719317932, 41 clinicians

Practice addresses (Care Compare)

200 Medical Park Dr
Suite 550
Concord, NC 28025-0947
Phone (704) 403-1307

2616 E 5TH St
Charlotte, NC 28204-4343
Phone (704) 333-5165

5306 NC Hwy 55
Suite 105
Durham, NC 27713-7812
Phone (337) 991-9276

635 Statesville Blvd
Salisbury, NC 28144-2201
Phone (704) 633-7390

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Physicians Network Inc CurrentSince Sep 8, 2025 Accepting new patients
Physicians Eldercare PA CurrentSince Nov 24, 2025 Accepting new patients
Curana Health of North Carolina PLLC CurrentSince Nov 24, 2025 Accepting new patients
Carolinas Physicians Network Inc Family Medicine CurrentSince Sep 8, 2025 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Pai Participant 29, P.C. CurrentSince Sep 23, 2025 Accepting new patients
M Medical NC PLLC CurrentSince Apr 26, 2025 Accepting new patients
Vitae Health Medical North Carolina, PLLC CurrentSince Jan 15, 2023 Accepting new patients
Carolinas Physicians Network, Inc Family Medicine Past Accepting new patients

Locations

9722 Groffs Mill Dr
Owings Mills, MD 21117
Phone (410) 205-9255

2616 E 5th St
Charlotte, NC 28204
Phone (704) 333-5165

4801 Randolph Rd
Charlotte, NC 28211
Phone (704) 364-8363

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

200 Medical Park Dr
Ste 550
Concord, NC 28025
Phone (704) 403-1307

5306 NC Highway 55
Ste 105
Durham, NC 27713
Phone (919) 457-1517

17 Cornelia St
Lexington, NC 27292
Phone (336) 242-1349

550 Glenwood Dr
Mooresville, NC 28115
Phone (704) 644-4797

1287 Newsome St
Mount Airy, NC 27030
Phone (336) 786-2133

635 Statesville Blvd
Salisbury, NC 28144
Phone (704) 633-7390

4692 Brownsboro Rd
Winston Salem, NC 27106
Phone (336) 251-1114

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://api.platform.athenahealth.com/23481/brand/1/csg/1/fhir/r4
  • Direct secure messaging: ljeter3029803@carolinashealthcaresystem.direct-ci.com

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.

Hospital & facility affiliations 8

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": "1637280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1184381659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3069 LIGHT RIDGE CT SW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280278989",
            "telephone_number": "704-930-3145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDICAL PARK DR STE 550",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280250947",
            "telephone_number": "704-403-1036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JETER",
        "first_name": "LATIFAH",
        "middle_name": "QUANAH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-19",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5015942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

Verify at the official NPI Registry.