Latrice M Hogue, MD

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

97905 Issued in GA

Practice address

1550 Mulkey Rd
Austell, GA 30106-1112

Phone

(770) 732-1137

Fax

(770) 732-2081

NPI assigned

Mar 20, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

Wake Forest University School of Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Atlanta West Dermatology and Surgery Center PCGroup PAC ID 9638135692, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: lhogue@atlantawest.emadirect.md
• Direct secure messaging: latrice.hogue.1@19580.direct.athenahealth.com

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.

• Atlanta West Dermatology & Surgery Center PC

  • Dermatology Physician
  • Austell, GA
  • NPI 1174680979
  Medicare reassignment Care Compare group
• Arrowpoint Health, Inc

  • Community/Behavioral Health Agency
  • Dublin, OH
  • NPI 1366045510
  NPD Authorized official
• Advanced Dermatology,P.C.

  • Specialist
  • Douglasville, GA
  • NPI 1932360757
  NPD (past)

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

{
    "created_epoch": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1295295848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 MULKEY RD",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061112",
            "telephone_number": "770-732-1137",
            "fax_number": "770-732-2081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 MULKEY RD",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061112",
            "telephone_number": "770-732-1137",
            "fax_number": "770-732-2081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1150 NW 14th St Ste 500",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331362116",
            "country_code": "US",
            "telephone_number": "305-243-9443",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "677 Church St NE",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300601101",
            "country_code": "US",
            "telephone_number": "770-793-7742",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOGUE",
        "first_name": "LATRICE",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-20",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "2023-01673",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NC",
            "license": "2023-01673",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "GA",
            "license": "97905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sivanthini Hines, MD
• Hira Optical LLC
• Hive Diagnostics LLC
• Natalie Z Hoeting, MD
• Eumeka Lawann Hogans, DMD
• Kenneth C. Holbrook, PA
• Holistic Approach Wellness Center
• Neisha Nicole Holliday
• Allyse Delane Holloman
• Karen Holtzclaw, NP

• MOHS-Micrographic Surgery Physician in Austell, GA
• Providers in Austell, GA by specialty
• MOHS-Micrographic Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.

Verify at the official NPI Registry.