Individual provider Active NPI

Cassandra Coe Latham, N.P.

  • Nurse Practitioner
  • Brunswick, GA
National Provider Identifier
1568513869
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN-NP115534 Issued in GA
Practice address
3222-A Shrine Road
Brunswick, GA 31520-4357
Phone
(912) 264-6303
Fax
(912) 264-6323
NPI assigned
Jan 15, 2007
Last updated
Sep 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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 APRN-NP115534 GA Primary

Addresses

Primary practice location

3222-A Shrine Road
Brunswick, GA 31520-4357

Mailing address

3222-A Shrine Road
Brunswick, GA 31520-4357
Phone (912) 264-6303

Other practice location 1

11 Main St
Jekyll Island, GA 31527-1061
Phone (912) 766-0755

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
I20070919000065 GA Practitioner - Nurse Practitioner 4688768849 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cooperative Healthcare Services IncGroup PAC ID 9830093640, 235 clinicians

Practice addresses (Care Compare)

2415 Parkwood Dr
Brunswick, GA 31520-4722
Phone (912) 466-4079

3222 Shrine Rd a
Brunswick, GA 31520-4357
Phone (912) 264-6303

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.36 of 100Reported as group
Quality
46.72
Promoting interoperability
99
Improvement activities
40
Cost
75.31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN115534NPGAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cooperative Healthcare Services Inc CurrentSince Jul 23, 2012 Accepting new patients
Strickland, Certain & Jones Past Accepting new patients
Anesthesia Associates of Savannah ,PA Past Accepting new patients

Locations

2415 Parkwood Dr
Brunswick, GA 31520
Phone (912) 466-4079

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1568513869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3222-A SHRINE ROAD",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204357",
            "telephone_number": "912-264-6303",
            "fax_number": "912-264-6323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3222-A SHRINE ROAD",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315204357",
            "telephone_number": "912-264-6303",
            "fax_number": "912-264-6323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Main St",
            "address_purpose": "LOCATION",
            "city": "Jekyll Island",
            "state": "GA",
            "postal_code": "315271061",
            "country_code": "US",
            "telephone_number": "912-766-0755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LATHAM",
        "first_name": "CASSANDRA",
        "middle_name": "COE",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "APRN-NP115534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, GA

Sources for this page

Verify at the official NPI Registry.