Individual provider Active NPI

Latesha Rochelle Williams, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Hattiesburg, MS
National Provider Identifier
1295343028
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
903908 Issued in MS
Practice address
101 Aldersgate Cir
Hattiesburg, MS 39402-1301
Phone
(662) 234-7601
NPI assigned
Jul 17, 2020
Last updated
Oct 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 903908 MS
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 903908 MS Primary

Addresses

Primary practice location

101 Aldersgate Cir
Hattiesburg, MS 39402-1301

Mailing address

309 McSwain Rd
New Augusta, MS 39462-9760
Phone (601) 402-0859

Other practice location 1

309 McSwain Rd
New Augusta, MS 39462-9760
Phone (601) 402-0859

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20201028000260 MS Practitioner - Nurse Practitioner 9537579875 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Precise Clinical Neuroscience SpecialistsGroup PAC ID 4880737626, 37 clinicians
Right Track Medical Group, IncGroup PAC ID 8729403415, 26 clinicians

Practice addresses (Care Compare)

101 Aldersgate Cir
Hattiesburg, MS 39402-1301
Phone (662) 234-7601

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
903908MSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Michaels Urgent Care of Hattiesburg CurrentSince Jul 8, 2020 Accepting new patients
St Michael Urgent Care of Hattiesburg LLC Current Accepting new patients
Right Track Medical Group, Inc CurrentSince May 26, 2022 Accepting new patients
Beacon Behavioral of Mississippi, LLC PastSince Jul 21, 2024 Accepting new patients
Precise Clinical Neuroscience Specialists Past Accepting new patients

Locations

101 Aldersgate Cir
Hattiesburg, MS 39402
Phone (601) 261-5800

3700 Hardy St
Ste 10
Hattiesburg, MS 39402
Phone (601) 544-7012

200 Highway 12 E
Starkville, MS 39759
Phone (662) 498-1900

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1594944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1295343028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 MCSWAIN RD",
            "city": "NEW AUGUSTA",
            "state": "MS",
            "postal_code": "394629760",
            "telephone_number": "601-402-0859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 ALDERSGATE CIR",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394021301",
            "telephone_number": "662-234-7601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "309 McSwain Rd",
            "address_purpose": "LOCATION",
            "city": "New Augusta",
            "state": "MS",
            "postal_code": "394629760",
            "country_code": "US",
            "telephone_number": "601-402-0859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "LATESHA",
        "middle_name": "ROCHELLE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-17",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "903908",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MS",
            "license": "903908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

Verify at the official NPI Registry.