Individual provider Active NPI

Joshua Luke Latham, D.O.

  • Family Medicine Physician
National Provider Identifier
1326139304
Registry record updated Sep 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N/A Issued in FL
Practice address
48 MDG
Unit 5210
Apo, AE 09461
Phone
011441638528124
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X N/A FL Primary

Addresses

Primary practice location

48 MDG
Unit 5210
Apo, AE 09461

Mailing address

PSC 41
Box 2407
Apo, AE 09464
Phone 011441638528368

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140521001500 FL Practitioner - Emergency MedicinePractitioner - Family Practice 5698904464 Reassigns benefits to 7 organizations
I20160428000954 AL Practitioner - Emergency MedicinePractitioner - Family Practice 5698904464

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
Texas Tech University Health Science Center School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crestview Urgent Care, Inc.Group PAC ID 3678614534, 12 clinicians

Practice addresses (Care Compare)

151 E Redstone Ave
Crestview, FL 32539-5352
Phone (850) 689-8100

2400 As Ferdon Blvd
Crestview, FL 32536-6459

2400 S Ferdon Blvd
Suite a
Crestview, FL 32536-6459
Phone (850) 398-8668

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
N/AFLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southland Hospitalist at Weems PL CurrentSince Nov 1, 2014 Accepting new patients
Floridian Hospitalist Services, LLC Current Accepting new patients
Psgfl MSSP, LLC CurrentSince Jul 28, 2025 Accepting new patients
Southland EMS at Weems PL CurrentSince Nov 1, 2014 Accepting new patients
Floridian Emergency Specialists LLC Current Accepting new patients
Floridian Hospitalist Services, LLC CurrentSince Apr 15, 2020 Accepting new patients

Locations

135 Avenue G
Apalachicola, FL 32320
Phone (850) 653-8853

151 E Redstone Ave
Crestview, FL 32539
Phone (850) 629-8515

8325 University Pkwy
Ste A
Pensacola, FL 32514
Phone (850) 324-9633

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220400000000",
    "number": "1326139304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "MIL",
            "address_1": "PSC 41",
            "address_2": "BOX 2407",
            "city": "APO",
            "state": "AE",
            "postal_code": "09464",
            "telephone_number": "011441638528368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "MIL",
            "address_1": "48 MDG",
            "address_2": "UNIT 5210",
            "city": "APO",
            "state": "AE",
            "postal_code": "09461",
            "telephone_number": "011441638528124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATHAM",
        "first_name": "JOSHUA",
        "middle_name": "LUKE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2008-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "N/A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.