Individual provider Active NPI

Lateia Natriece Gamble McGee, HAIR LOSS SPECIALIST

  • Prosthetics Case Management
  • Marietta, GA
National Provider Identifier
1255894333
Registry record updated Apr 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetics Case ManagementTaxonomy code 1744P3200X
License
CO128967 Issued in GA
Practice address
1651 Powder Springs Rd SW Ste 6
Marietta, GA 30064-4847
Phone
(678) 492-8671
NPI assigned
Apr 7, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetics Case Management 1744P3200X CO128967 GA Primary

Addresses

Primary practice location

1651 Powder Springs Rd SW Ste 6
Marietta, GA 30064-4847

Mailing address

2400 Barrett Creek Blvd Apt 921
Marietta, GA 30066-4965
Phone (678) 492-8671

Other identifiers 1

IdentifierTypeStateIssuer
CO128967OtherGAHAIR LOSS SPECIALIST

Other names 1

  • Lateia Natriece Gamble McGee Professional name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CO128967GAMDProsthetics Case Management

NPI Registry JSON

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

{
    "created_epoch": "1554595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554595200000",
    "number": "1255894333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 BARRETT CREEK BLVD APT 921",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300664965",
            "telephone_number": "678-492-8671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 POWDER SPRINGS RD SW STE 6",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300644847",
            "telephone_number": "678-492-8671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBLE MCGEE",
        "first_name": "LATEIA",
        "middle_name": "NATRIECE",
        "credential": "HAIR LOSS SPECIALIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-07",
        "last_updated": "2019-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "GA",
            "license": "CO128967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAIR LOSS SPECIALIST",
            "identifier": "CO128967",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LATEIA",
            "last_name": "GAMBLE MCGEE",
            "middle_name": "NATRIECE",
            "credential": "HAIR LOSS SPECIALIST",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2019; 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.