Active NPI
Harold Frank Latta, MD
- Pediatrics Physician
- Winston Salem, NC
National Provider Identifier
1922073451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 33540
- Practice address
- 1350 Whitaker Ridge Dr
Winston Salem, NC 27106-4966 - Phone
- (336) 718-8000
- Fax
- (336) 718-8011
- NPI assigned
- Feb 20, 2006
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 33540 | NC | Primary |
Addresses
Primary practice location
1350 Whitaker Ridge Dr
Winston Salem, NC 27106-4966
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8951142 | Medicaid | NC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | hlatta18942@direct.novanthealth.org |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 33540 | NC | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group LLC | Pediatrics | Current | Accepting new patients |
| Novant Health Medical Group, LLC | Current | Accepting new patients |
Locations
517 S Sharon Amity Rd
Charlotte, NC 28211
Phone (704) 384-1406
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
1350 Whitaker Ridge Dr
Winston Salem, NC 27106
Phone (336) 718-8000
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.
-
- Pediatrics Physician
- Charlotte, NC
- NPI 1922721141
-
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
- Obstetrics & Gynecology Physician
- Matthews, NC
- NPI 1386506137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643328000000",
"number": "1922073451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 WHITAKER RIDGE DR",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271064966",
"telephone_number": "336-718-8000",
"fax_number": "336-718-8011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LATTA",
"first_name": "HAROLD",
"middle_name": "FRANK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-20",
"last_updated": "2022-01-28",
"certification_date": "2022-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "33540",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8951142",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "hlatta18942@direct.novanthealth.org",
"affiliation": "N",
"address_1": "1350 Whitaker Ridge Dr",
"city": "Winston Salem",
"state": "NC",
"country_code": "US",
"postal_code": "271064966",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.