Active NPI
Latifah Quanah Jeter, FNP-C
- Family Nurse Practitioner
- Concord, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5015942
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Physicians Eldercare PA | Current | Accepting new patients | |
| Curana Health of North Carolina PLLC | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Family Medicine | Current | Accepting new patients |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Pai Participant 29, P.C. | Current | Accepting new patients | |
| M Medical NC PLLC | Current | Accepting new patients | |
| Vitae Health Medical North Carolina, PLLC | Current | 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
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- https://api.platform.athenahealth.com/23481/brand/1/csg/1/fhir/r4
- 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.
-
- Orthopaedic Surgery Physician
- Charlotte, NC
- NPI 1437607686
-
- Internal Medicine Physician
- Durham, NC
- NPI 1770217176
-
- Internal Medicine Physician
- Lexington, NC
- NPI 1770337412
-
- General Practice Physician
- Durham, NC
- NPI 1023083268
-
- Internal Medicine Physician
- Mooresville, NC
- NPI 1265064414
-
- Geriatric Medicine (Internal Medicine) Physician
- Lexington, NC
- NPI 1245813757
-
- Family Medicine Physician
- Monroe, NC
- NPI 1376898148
-
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1437038544
-
- Family Medicine Physician
- Charlotte, NC
- NPI 1578939914
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Charlotte, NC
- NPI 1053358945
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1295789907
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1376985135
-
- Children's Rehabilitation Hospital
- Charlotte, NC
- NPI 1699829887
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Charlotte, NC
- NPI 1720029705
Hospital
-
- General Acute Care Hospital
- Concord, NC
- NPI 1487866315
-
- Psychiatric Hospital Unit
- Concord, NC
- NPI 1629283866
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; 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.