Active NPI
Samuel Robert Lathan, MD, FACP, FACCP
- Internal Medicine Physician
- Atlanta, GA
National Provider Identifier
1932263266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 012337
- Practice address
- 3200 Downwood Cir NW
550
Atlanta, GA 30327-1610 - Phone
- (404) 351-0205
- Fax
- (404) 350-9823
- NPI assigned
- Dec 21, 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 012337 | GA | Primary |
Addresses
Primary practice location
3200 Downwood Cir NW
550
Atlanta, GA 30327-1610
Mailing address
3200 Downwood Circle
Suite 550
Atlanta, GA 30327
Phone (404) 351-0205
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 012337 | Other | GA | STATE LICENSE NUMBER |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Medical Care Corporation | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Atlanta, GA
- NPI 1912956046
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277769600000",
"number": "1932263266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 DOWNWOOD CIRCLE",
"address_2": "SUITE 550",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30327",
"telephone_number": "404-351-0205",
"fax_number": "404-350-9823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 DOWNWOOD CIR NW",
"address_2": "550",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303271610",
"telephone_number": "404-351-0205",
"fax_number": "404-350-9823"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LATHAN",
"first_name": "SAMUEL",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "MD, FACP, FACCP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-21",
"last_updated": "2010-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "012337",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "012337",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.