Tracy Thompson Latz, M.D., M.S.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

34660 Issued in NC

Practice address

116 S Main St
Suite 301
Mooresville, NC 28115-2373

Phone

(704) 662-3200

Fax

(704) 662-3288

NPI assigned

Jul 26, 2006

Last updated

Mar 7, 2023By the provider in NPPES

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 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Nov 21, 2017 through Nov 21, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Master of Science

Practice roles

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.

• Lake Norman Integrative Psychiatry

  • Medical Specialty Clinic/Center
  • Mooresville, NC
  • NPI 1174738520
  Authorized official Same address or phone
• Lake Norman Psychiatry & Counseling, PLLC

  • Psychosomatic Medicine Physician
  • Mooresville, NC
  • NPI 1568674752

  Psychiatry

  NPD (past)
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1407879851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 S MAIN ST",
            "address_2": "SUITE 301",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281152373",
            "telephone_number": "704-662-3200",
            "fax_number": "704-662-3288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 S MAIN ST",
            "address_2": "SUITE 301",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281152373",
            "telephone_number": "704-662-3200",
            "fax_number": "704-662-3288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATZ",
        "first_name": "TRACY",
        "middle_name": "THOMPSON",
        "name_prefix": "Dr.",
        "credential": "M.D., M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "34660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ABPN CERT. # EXP. 2014",
            "identifier": "41028",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51148",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7951148",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "NC 34660",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "58366",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Langtree Chiropractic, PLLC
• Langtree Endoscopy Center, LLC
• Amber Lynn Lankford, MPT
• Golnar Lashgari, M.D.
• Joslin Rose Latz, M.S., CCC-SLP
• Laura L. Grier, DDS, PA
• Mary Lavalley
• Alexis Laws, BCBA, LBA
• Janna Lay, RN, BSN, IBCLC
• Lynn Le, PA-C

• Psychiatry Physician in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.