Individual provider Active NPI

Latoya Walton-Torrence, MD

  • Obstetrics & Gynecology Physician
  • Dothan, AL
National Provider Identifier
1841295458
Registry record updated Apr 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
26014 Issued in AL
Practice address
104 Medical Dr
Dothan, AL 36303-6902
Phone
(334) 671-9445
Fax
(334) 836-0059
NPI assigned
Jun 20, 2005
Last updated
Apr 15, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 26014 AL Primary

Addresses

Primary practice location

104 Medical Dr
Dothan, AL 36303-6902

Mailing address

104 Medical Dr
Dothan, AL 36303-6902
Phone (334) 671-9445

Other identifiers 2

IdentifierTypeStateIssuer
51520983OtherALBXBS OF ALABAMA
051520983MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20040908001393 AL Practitioner - Obstetrics/Gynecology 6204802457 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Meharry Medical College School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleveland and Gilchrist P CGroup PAC ID 9638185069, 8 clinicians

Practice addresses (Care Compare)

202 Westside Dr
Dothan, AL 36303-1928
Phone (334) 699-2229

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26014ALMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Obstetrics & Gynecology of Dothan Inc Obstetrics & Gynecology CurrentSince Aug 1, 2004 Accepting new patients
Cleveland & Gilchrist P C Obstetrics & Gynecology CurrentSince Jun 1, 2019 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
Triad of Alabama LLC Past Accepting new patients

Locations

104 Medical Dr
Dothan, AL 36303
Phone (334) 671-9445

1458 Whatley Dr
Dothan, AL 36303
Phone (334) 671-9445

202 Westside Dr
Dothan, AL 36303
Phone (334) 699-2229

Organizations & group practices 4

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 2

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": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271289600000",
    "number": "1841295458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 MEDICAL DR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363036902",
            "telephone_number": "334-671-9445",
            "fax_number": "334-836-0059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 MEDICAL DR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363036902",
            "telephone_number": "334-671-9445",
            "fax_number": "334-836-0059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTON-TORRENCE",
        "first_name": "LATOYA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-20",
        "last_updated": "2010-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AL",
            "license": "26014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BXBS OF ALABAMA",
            "identifier": "51520983",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051520983",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

Verify at the official NPI Registry.