Individual provider Active NPI

Latonya Demetra Newson, AGNP

  • Nurse Practitioner
  • Clarksdale, MS
National Provider Identifier
1487317491
Registry record updated Oct 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NEWS-YCTV2Q Issued in MS
Practice address
1812 Glinsey Newsom CV
Clarksdale, MS 38614-7552
Phone
(662) 902-7972
NPI assigned
Oct 16, 2021
Last updated
Oct 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2021

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 NEWS-YCTV2Q MS Primary

Addresses

Primary practice location

1812 Glinsey Newsom CV
Clarksdale, MS 38614-7552

Mailing address

1812 Glinsey Newsom CV
Clarksdale, MS 38614-7552
Phone (662) 902-7972

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20230731001563 MS Practitioner - Nurse Practitioner 2769843317 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NEWS-YCTV2QMSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health Providers of America, LLC CurrentSince Jun 21, 2023 Accepting new patients
Delta Kidney Alliance LLC CurrentSince Nov 9, 2025 Accepting new patients
Northern Mississippi Vascular Access Center Past Accepting new patients

Locations

111 Chase St
Byhalia, MS 38611
Phone (662) 252-1141

1502 S Colorado St
Greenville, MS 38703
Phone (601) 332-9872

1730 Dorchester Dr
Southaven, MS 38671
Phone (662) 226-2442

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1634342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634342400000",
    "number": "1487317491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 GLINSEY NEWSOM CV",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386147552",
            "telephone_number": "662-902-7972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 GLINSEY NEWSOM CV",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386147552",
            "telephone_number": "662-902-7972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWSON",
        "first_name": "LATONYA",
        "middle_name": "DEMETRA",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-16",
        "last_updated": "2021-10-16",
        "certification_date": "2021-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "NEWS-YCTV2Q",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksdale, MS

Sources for this page

Verify at the official NPI Registry.