Individual provider Active NPI

Latrenda S Perkins, DO

  • Internal Medicine Physician
  • Sharpsburg, GA
National Provider Identifier
1659717569
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
76650 Issued in GA
Practice address
105 Fischer Marketplace LN Ste 100
Sharpsburg, GA 30277-3680
Phone
(678) 633-3260
NPI assigned
May 18, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Electrodiagnostic Medicine Physician 204R00000X 76650 GA
Internal Medicine Physician 207R00000X OTO15170 PA
Internal Medicine Physician 207R00000X 76650 GA Primary

Addresses

Primary practice location

105 Fischer Marketplace LN Ste 100
Sharpsburg, GA 30277-3680

Mailing address

1514 Vernon Rd
Lagrange, GA 30240-4131
Phone (706) 812-2369

Other practice location 1

1514 Vernon Rd
LaGrange, GA 30240-4131
Phone (706) 812-2369

Other practice location 2

61 Robinson Lake Rd
Newnan, GA 30265-6275
Phone (678) 633-3260

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161011001370 GA Practitioner - HospitalistPractitioner - Internal Medicine 9739486218 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Medical Care CorporationGroup PAC ID 6002802220, 368 clinicians

Practice addresses (Care Compare)

61 Robinson Lake Rd
Newnan, GA 30265-6275
Phone (678) 633-3260

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.62 of 100Reported as apm
Quality
83.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
76650GAMDElectrodiagnostic Medicine Physician
OTO15170PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Professional Services, LLC CurrentSince Aug 1, 2025 Accepting new patients
Piedmont Medical Care Corporation Internal Medicine CurrentSince Aug 23, 2021 Accepting new patients
Piedmont Providers LLC Internal Medicine Past Accepting new patients

Locations

105 Collier Rd NW
Ste 5020
Atlanta, GA 30309
Phone (404) 350-3860

1267 Highway 54 W
Ste 2200
Fayetteville, GA 30214
Phone (470) 271-3415

61 Robinson Lake Rd
Newnan, GA 30265
Phone (678) 633-3260

105 Fischer Marketplace Ln
Ste 100
Sharpsburg, GA 30277
Phone (678) 633-3260

1855 Hudson Bridge Rd
Stockbridge, GA 30281
Phone (678) 565-0648

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1368835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1659717569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 VERNON RD",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302404131",
            "telephone_number": "706-812-2369",
            "fax_number": "706-845-3194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 FISCHER MARKETPLACE LN STE 100",
            "city": "SHARPSBURG",
            "state": "GA",
            "postal_code": "302773680",
            "telephone_number": "678-633-3260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1514 Vernon Rd",
            "address_purpose": "LOCATION",
            "city": "LaGrange",
            "state": "GA",
            "postal_code": "302404131",
            "country_code": "US",
            "telephone_number": "706-812-2369",
            "fax_number": "706-845-3194",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "61 Robinson Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Newnan",
            "state": "GA",
            "postal_code": "302656275",
            "country_code": "US",
            "telephone_number": "678-633-3260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "LATRENDA",
        "middle_name": "S",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-18",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204R00000X",
            "taxonomy_group": "",
            "desc": "Electrodiagnostic Medicine",
            "state": "GA",
            "license": "76650",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OTO15170",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "76650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sharpsburg, GA

Sources for this page

Verify at the official NPI Registry.