Active NPI
Latonya Rochelle Beatty, MD
- Family Medicine Physician
- Wilmington, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2019-01853
- Practice address
- 2523 Delaney Ave
Wilmington, NC 28403-6003 - Phone
- (910) 763-5522
- Fax
- (910) 763-0413
- NPI assigned
- Oct 28, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2019-01853 | NC | Primary |
Addresses
Primary practice location
2523 Delaney Ave
Wilmington, NC 28403-6003
Mailing address
PO Box 936857
Atlanta, GA 31193-6857
Other practice location 1
2131 S 17th St
Wilmington, NC 28401-7407
Phone (910) 343-7000
Other practice location 2
925 N 4th St
Wilmington, NC 28401-3450
Phone (910) 343-0270
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2131 S 17TH St
Wilmington, NC 28401-7407
Phone (910) 667-3000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2019-01853 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Hanover Community Health Center Incorporated | Current | Accepting new patients | |
| Signify Health Medical Associates, PLLC | Current | Accepting new patients | |
| Novant Health Medical Group Coastal Region, LLC | Current | Accepting new patients | |
| Novant Health New Hanover Regional Medical Center LLC | Current | Accepting new patients | |
| Novant Health New Hanover Regional Medical Center LLC | Current | Accepting new patients | |
| NMG Health Services LLC | Current | Accepting new patients | |
| Novant Health New Hanover Regional Medical Center LLC | Family Medicine | Current | Accepting new patients |
| Novant Health Medical Group Coastal Region, LLC | Family Medicine | Current | Accepting new patients |
| New Hanover Medical Group PA | Family Medicine | Past | Accepting new patients |
Locations
555 Fayetteville St
Raleigh, NC 27601
Phone (682) 268-1011
800 Jefferson St
Ste 112
Whiteville, NC 28472
Phone (910) 642-8164
2131 S 17th St
Wilmington, NC 28401
Phone (910) 342-3000
2221 S 17th St
Wilmington, NC 28401
Phone (910) 662-7720
2523 Delaney Ave
Wilmington, NC 28403
Phone (910) 763-5522
925 N 4th St
Wilmington, NC 28401
Phone (910) 254-4690
240 Calhoun Dr
Wilmington, NC 28412
Phone (910) 202-8656
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- lbeatty1243409@direct.novanthealth.org
Organizations & group practices 9
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.
-
- Cardiovascular Disease Physician
- Wilmington, NC
- NPI 1649865791
-
- Certified Registered Nurse Anesthetist
- Wilmington, NC
- NPI 1750978839
-
- Federally Qualified Health Center (FQHC)
- Wilmington, NC
- NPI 1457512691
-
- Maternal & Fetal Medicine Physician
- Bolivia, NC
- NPI 1558242495
-
- Internal Medicine Physician
- Wilmington, NC
- NPI 1841877263
Family Medicine
-
- Internal Medicine Physician
- Wilmington, NC
- NPI 1396332482
Family Medicine
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Wilmington, NC
- NPI 1932958584
-
- Family Medicine Physician
- Wilmington, NC
- NPI 1992751374
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wilmington, NC
- NPI 1376139139
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622073600000",
"number": "1366742090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 936857",
"city": "ATLANTA",
"state": "GA",
"postal_code": "311936857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2523 DELANEY AVE",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284036003",
"telephone_number": "910-763-5522",
"fax_number": "910-763-0413"
}
],
"practiceLocations": [
{
"address_1": "2131 S 17th St",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "284017407",
"country_code": "US",
"telephone_number": "910-343-7000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "925 N 4th St",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "284013450",
"country_code": "US",
"telephone_number": "910-343-0270",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEATTY",
"first_name": "LATONYA",
"middle_name": "ROCHELLE",
"name_prefix": "Ms.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-28",
"last_updated": "2021-05-27",
"certification_date": "2021-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "2019-01853",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; 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.