Individual provider Active NPI

Latasha Janett Williams-Prince, MSN, ARPN, FNP-C

  • Family Nurse Practitioner
  • Conyers, GA
National Provider Identifier
1932633674
Registry record updated Aug 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN226033 Issued in GA
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

Updated by the provider on Aug 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190625000976 GA Practitioner - Nurse Practitioner 6204160252 Reassigns benefits to 1 organization

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

OrganizationSpecialtyStatusNew patients
Monogram Health Professional Services PC Family CurrentSince Dec 2, 2025 Accepting new patients
Monogram Health Professional Services PC Family CurrentSince Dec 2, 2025 Accepting new patients
Millennium Health Partners, LLC PastSince Apr 20, 2019 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.

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

Verify at the official NPI Registry.