Little Affiliate Horizons LLC
Organization Active NPI Nurse Practitioner · Cochran, GA
NPI 1497645774 · NPPES record last updated Jul 8, 2025
Key facts
- NPI
- 1497645774
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nurse Practitioner 363L00000X
- Legal business name
- LITTLE AFFILIATE HORIZONS LLC
- Practice address
- 684 Red Dog Farm Rd
Cochran, GA 31014 - Phone
- (478) 308-0412
- NPI assigned
- Jul 8, 2025
- Organization subpart
- No
Authorized official
- Name
- Taylor Little
- Title
- Owner
- Phone
- (478) 308-0412
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250829000308 | GA | Part B Supplier - Clinic/Group Practice | 6002317229 |
Receives reassigned benefits from 1 practitioner Practice locations: Cochran, GA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner |
363L00000X | Yes |
Addresses
Primary practice location
684 Red Dog Farm Rd
Cochran, GA 31014
Mailing address
684 Red Dog Farm Rd
Cochran, GA 31014
Phone (478) 308-0412
Other providers in Cochran, GA
- Elizabeth Hortman
- Robin Hunter
- Lewis Glenn Jones
- Ashley Lewis
- Lifeline EMS LLC
- Jacob Lunsford
- Audrey Jane I Maddox
- Patrick Nelson Major
- Tanya S. Manning
- Debbie Martin
All providers in Cochran, GA · Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.