Individual provider Active NPI

Latoya Evette West, NP

  • Family Nurse Practitioner
  • Albany, GA
National Provider Identifier
1285165928
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN223317 Issued in GA
Practice address
118 Wadsworth Ave
Albany, GA 31721-8848
Phone
(229) 733-0038
Fax
(478) 488-4162
NPI assigned
Mar 24, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 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 RN223317 GA Primary

Addresses

Primary practice location

118 Wadsworth Ave
Albany, GA 31721-8848

Mailing address

814 Radford Blvd BLDG 7000
Albany, GA 31704-1130
Phone (478) 272-1210

Other names 1

  • Latoya Pettiford Former name

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
I20170421000550 GA Practitioner - Nurse Practitioner 6608152962

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tift Regional Health System Inc CurrentSince Apr 1, 2017 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

907 18th St E
Ste 150
Tifton, GA 31794
Phone (229) 353-3422

2225 US Highway 41 N
Tifton, GA 31794
Phone (229) 353-3422

2735 Central Ave S
Tifton, GA 31794
Phone (229) 388-5690

Interoperability endpoints

  • Direct secure messaging: latoya.westbrook@217526021193732.direct.elationemr.com

Organizations & group practices 2

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": "1490313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1285165928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 RADFORD BLVD BLDG 7000",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317041130",
            "telephone_number": "478-272-1210",
            "fax_number": "478-274-5430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 WADSWORTH AVE",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317218848",
            "telephone_number": "229-733-0038",
            "fax_number": "478-488-4162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "LATOYA",
        "middle_name": "EVETTE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-24",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN223317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LATOYA",
            "last_name": "PETTIFORD",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Albany, GA

Sources for this page

Verify at the official NPI Registry.