Latasha Devonne Jefferson, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN-NP195618 Issued in GA

Practice address

2480 Windy Hill Rd SE Ste 405
Marietta, GA 30067-8658

Phone

(800) 640-3451

NPI assigned

Aug 15, 2014

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

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

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Caritas Medical CenterGroup PAC ID 7012183478, 5 clinicians

Spencer J Hardenbrook MD PCGroup PAC ID 2062733546, 93 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Caritas Medical Center

  • Nephrology Physician
  • Stockbridge, GA
  • NPI 1245390681
  Medicare reassignment Care Compare group NPD
• Spencer J Hardenbrook MD PC

  • Family Medicine Physician
  • Draper, UT
  • NPI 1073909594

  GA

  Medicare reassignment Care Compare group NPD
• Sculptures Body Spa

  • Acute Care Nurse Practitioner
  • Stockbridge, GA
  • NPI 1871061713
  NPD Authorized official
• Caritas Medical Center Fayetteville LLC

  • Nephrology Physician
  • Stockbridge, GA
  • NPI 1801572003
  NPD (past)

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

{
    "created_epoch": "1408060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1457750432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 HWY 138 E",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817733",
            "telephone_number": "470-377-2552",
            "fax_number": "770-385-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 WINDY HILL RD SE STE 405",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678658",
            "telephone_number": "800-640-3451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 N Park Trl Ste 300",
            "address_purpose": "LOCATION",
            "city": "Stockbridge",
            "state": "GA",
            "postal_code": "302817432",
            "country_code": "US",
            "telephone_number": "678-284-0800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "885 HWY 138 E",
            "address_purpose": "LOCATION",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817733",
            "country_code": "US",
            "telephone_number": "470-377-2552",
            "fax_number": "770-385-9401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEFFERSON",
        "first_name": "LATASHA",
        "middle_name": "DEVONNE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-15",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP195618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Jebara, LPC, NCC
• Bryan G Jefferies, MD
• Jennifer A Jeffers-Smith, APRN
• Cheryl Susan Jeffers, LPC MED EDS
• Allahni Jefferson, LMSW
• Dana Jeffery, BCBA
• Steven Christopher Jeffery
• Jeffrey R. Prinsell, DMD, MD, P.C.
• Marisa Anne Jendras
• Ansley Jenkins, PA

• Family Nurse Practitioner in Marietta, GA
• Providers in Marietta, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; 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.

Verify at the official NPI Registry.