Individual provider Active NPI

Rene Latoni, MD

  • Family Medicine Physician
  • Dacula, GA
National Provider Identifier
1851353098
Registry record updated Sep 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
032227 Issued in GA
Practice address
2098 Teron Trce
Ste150
Dacula, GA 30019-1662
Phone
(678) 730-1620
Fax
(678) 730-0858
NPI assigned
Apr 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 032227 GA Primary

Addresses

Primary practice location

2098 Teron Trce
Ste150
Dacula, GA 30019-1662

Mailing address

2098 Teron Trce
Ste 150
Dacula, GA 30019-1662
Phone (678) 730-1620

Other identifiers 1

IdentifierTypeStateIssuer
00438215BMedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rene.latoni.p2@direct.gmg.nextgenshare.com Direct

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
032227GAMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1851353098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2098 TERON TRCE",
            "address_2": "STE 150",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300191662",
            "telephone_number": "678-730-1620",
            "fax_number": "678-730-0858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2098 TERON TRCE",
            "address_2": "STE150",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300191662",
            "telephone_number": "678-730-1620",
            "fax_number": "678-730-0858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATONI",
        "first_name": "RENE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "032227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00438215B",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rene.latoni.p2@direct.gmg.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Edge",
            "address_1": "2098 Teron Trce",
            "address_2": "Ste150",
            "city": "Dacula",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300191662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dacula, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.