Latina Thompson

Primary specialty

Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X

Practice address

419 Moye Dr
Sandersville, GA 31082-7624

Phone

(478) 232-3186

NPI assigned

Aug 16, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1386319853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 WEDGEWOOD CT",
            "city": "SANDERSVILLE",
            "state": "GA",
            "postal_code": "310828446",
            "telephone_number": "478-232-3186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 MOYE DR",
            "city": "SANDERSVILLE",
            "state": "GA",
            "postal_code": "310827624",
            "telephone_number": "478-232-3186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "LATINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-16",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "87-2120294",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Earle M Taylor, M.D.
• Shalu R Taylor, WHNP
• The Bone & Joint Orthopaedic Surgery Clinic, P. C.
• Randy S. Thomas, SLP-CCC
• Keith B Thompson
• James H Tinley, MD
• Trinity Loving Care Mobile Transportation, LLC
• Lori Crenshaw Vaughn
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP

• Intellectual & Developmental Disabilities Psychologist in Sandersville, GA
• Providers in Sandersville, GA by specialty
• Intellectual & Developmental Disabilities Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.