Individual provider Active NPI

Latanja Janecho Huskey

  • Family Nurse Practitioner
  • Douglasville, GA
National Provider Identifier
1508313172
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN207586 Issued in GA
Practice address
2022 Fairburn Rd Ste D
Douglasville, GA 30135-1062
Phone
(770) 942-1044
Fax
(770) 942-1044
NPI assigned
Sep 1, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN207586 GA Primary

Addresses

Primary practice location

2022 Fairburn Rd Ste D
Douglasville, GA 30135-1062

Mailing address

2786 Jacob LN
Douglasville, GA 30135-4447
Phone (678) 437-7662

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170921000778 GA Practitioner - Nurse Practitioner 2365716909 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Nexus Pain Center of Columbus LLCGroup PAC ID 8426050246, 17 clinicians

Practice addresses (Care Compare)

7351 Old Moon Rd
Columbus, GA 31909-7291
Phone (706) 653-7000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN207586GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Nexus Pain Center of Columbus LLC CurrentSince Jun 2, 2025 Accepting new patients

Locations

7351 Old Moon Rd
Columbus, GA 31909
Phone (706) 221-2721

165 N Park Trl
Ste 100
Stockbridge, GA 30281
Phone (770) 506-1800

165 Northpark Trl
Stockbridge, GA 30281
Phone (770) 506-1800

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1508313172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2786 JACOB LN",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301354447",
            "telephone_number": "678-437-7662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2022 FAIRBURN RD STE D",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301351062",
            "telephone_number": "770-942-1044",
            "fax_number": "770-942-1044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSKEY",
        "first_name": "LATANJA",
        "middle_name": "JANECHO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN207586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglasville, GA

Sources for this page

Verify at the official NPI Registry.