Individual provider Active NPI

Latoya Cofield

  • Nurse Practitioner
  • Lawrenceville, GA
National Provider Identifier
1376194332
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AG06190100 Issued in GA
Practice address
575 Professional Dr Ste 290
Lawrenceville, GA 30046-3347
Phone
(770) 417-8170
Fax
(855) 530-3640
NPI assigned
Sep 21, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AG06190100 GA Primary

Addresses

Primary practice location

575 Professional Dr Ste 290
Lawrenceville, GA 30046-3347

Mailing address

3248 Meadow Point Dr
Snellville, GA 30039-7770
Phone (678) 993-8189

Other practice location 1

3248 Meadow Point Dr
Snellville, GA 30039-7770
Phone (678) 993-8189

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
I20220622002152 GA Practitioner - Nurse Practitioner 9638558646 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AG06190100GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney Specialists of Georgia PC CurrentSince Mar 16, 2022 Accepting new patients

Locations

575 Professional Dr
Ste 290
Lawrenceville, GA 30046
Phone (770) 417-8170

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20289/brand/1/csg/1/fhir/r4
  • Direct secure messaging: latoya.cofield.1@20289.direct.athenahealth.com

Organizations & group practices 1

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": "1569024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1376194332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3248 MEADOW POINT DR",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300397770",
            "telephone_number": "678-993-8189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 PROFESSIONAL DR STE 290",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300463347",
            "telephone_number": "770-417-8170",
            "fax_number": "855-530-3640"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3248 Meadow Point Dr",
            "address_purpose": "LOCATION",
            "city": "Snellville",
            "state": "GA",
            "postal_code": "300397770",
            "country_code": "US",
            "telephone_number": "678-993-8189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COFIELD",
        "first_name": "LATOYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-21",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "AG06190100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.