Active NPI
Latece Williams, COTA/L
- Occupational Therapy Assistant
- Palmetto, GA
National Provider Identifier
1780536268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA001833
- Practice address
- 519 Perkins Rd
Palmetto, GA 30268-2374 - Phone
- (770) 463-2460
- NPI assigned
- Feb 9, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OTA001833 | GA | Primary |
Addresses
Primary practice location
519 Perkins Rd
Palmetto, GA 30268-2374
Mailing address
5520 Cascade Run SW
Atlanta, GA 30336-4409
Phone (706) 728-5534
Other practice location 1
4595 Timber Ridge Dr
Douglasville, GA 30135-1494
Phone (770) 872-6322
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTA001833 | GA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770595200000",
"number": "1780536268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5520 CASCADE RUN SW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303364409",
"telephone_number": "706-728-5534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "519 PERKINS RD",
"city": "PALMETTO",
"state": "GA",
"postal_code": "302682374",
"telephone_number": "770-463-2460"
}
],
"practiceLocations": [
{
"address_1": "4595 Timber Ridge Dr",
"address_purpose": "LOCATION",
"city": "Douglasville",
"state": "GA",
"postal_code": "301351494",
"country_code": "US",
"telephone_number": "770-872-6322",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIAMS",
"first_name": "LATECE",
"name_prefix": "Mr.",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-02-09",
"last_updated": "2026-02-09",
"certification_date": "2026-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "GA",
"license": "OTA001833",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palmetto, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.