Active NPI
Latasha Janett Williams-Prince, MSN, ARPN, FNP-C
- Family Nurse Practitioner
- Conyers, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN226033
- Practice address
- 1490 Milstead Rd NE # a
Conyers, GA 30012-3823 - Phone
- (770) 922-2217
- NPI assigned
- Apr 19, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN226033 | GA | Primary |
Addresses
Primary practice location
1490 Milstead Rd NE # a
Conyers, GA 30012-3823
Mailing address
3372 Chesterfield CT
Snellville, GA 30039-4607
Phone (317) 376-9840
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1000 Johnson Fy Rd NE
Atlanta, GA 30342
2645 Lawrenceville Hwy
Decatur, GA 30033-2502
5410 Maryland Way
Suite 400
Brentwood, TN 37027-8087
7 Clyde Rd
Somerset, NJ 08873-5049
Northside Hospital Managed Care Dept
905 1000 Johnson Ferry Rd NE
Atlanta, GA 30342-1606
PO Box
Suite 1459
Decatur, GA 30031-1459
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Master of Science - Nursing
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Monogram Health Professional Services PC | Family | Current | Accepting new patients |
| Monogram Health Professional Services PC | Family | Current | Accepting new patients |
| Millennium Health Partners, LLC | Past | Accepting new patients |
Locations
3350 Riverwood Pkwy SE
Ste 1900
Atlanta, GA 30339
Phone (404) 277-2167
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.
-
- Nephrology Physician
- Brentwood, TN
- NPI 1255930228
Family, GA
-
- Specialist
- Decatur, GA
- NPI 1679554216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565136000000",
"number": "1932633674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3372 CHESTERFIELD CT",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300394607",
"telephone_number": "317-376-9840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1490 MILSTEAD RD NE # A",
"city": "CONYERS",
"state": "GA",
"postal_code": "300123823",
"telephone_number": "770-922-2217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS-PRINCE",
"first_name": "LATASHA",
"middle_name": "JANETT",
"name_prefix": "Ms.",
"credential": "MSN, ARPN, FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-19",
"last_updated": "2019-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN226033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conyers, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.