Active NPI
Latora Williams, MD
- Family Medicine Physician
- Jackson, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 11470
- Practice address
- 1502 W 3Rd St
Jackson, GA 30233-1979 - Phone
- (770) 914-0116
- NPI assigned
- Apr 2, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 11470 | GA | Primary |
Addresses
Primary practice location
1502 W 3Rd St
Jackson, GA 30233-1979
Mailing address
3333 Riverwood Pkwy SE Ste 250
Atlanta, GA 30339-3304
Phone (770) 914-0116
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1502 W 3Rd St
Suite a
Jackson, GA 30233-1979
Phone (770) 914-0116
233 N Houston Rd
Suite 140a
Warner Robins, GA 31093-3023
Phone (478) 975-6720
Hospital & facility affiliations
- Centerwell Home Health
- Enhabit Home Health
- Amedisys Home Health of Covington
- Emory Houston Hospital Warner Robins
- Piedmont Henry Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11470 | GA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Houston Hospitals Inc | Current | Accepting new patients | |
| Aylo Health, LLC | Family Medicine | Current | Accepting new patients |
| Houston Hospitals Inc | Current | Accepting new patients | |
| Aylo Health, LLC | Current | Accepting new patients | |
| Health Services of Central Georgia, Inc | Family Medicine | Past | Accepting new patients |
| The Medical Center of Central Georgia Inc | Past | Accepting new patients | |
| Aylo Health, LLC | Past | Accepting new patients | |
| Aylo Health, LLC | Family Medicine | Past | Accepting new patients |
| Aylo Health, LLC | Family Medicine | Past | Accepting new patients |
Locations
3333 Riverwood Pkwy SE
Ste 250
Atlanta, GA 30339
Phone (770) 914-0016
520 GA Highway 247 S
Ste 501
Bonaire, GA 31005
Phone (478) 352-7110
1101 Nortec Dr SE
Conyers, GA 30013
Phone (678) 374-7514
211 Fairview Rd
Ellenwood, GA 30294
Phone (678) 289-6747
1058 Bear Creek Blvd
Hampton, GA 30228
Phone (770) 707-0808
1502 W 3rd St
Jackson, GA 30233
Phone (678) 248-2899
1502 W 3rd St
Ste A
Jackson, GA 30233
Phone (678) 774-0430
1118 GA Highway 96
Kathleen, GA 31047
Phone (478) 922-4281
3758 Highway 42 S
Locust Grove, GA 30248
Phone (678) 561-9430
3758 Highway 42 S
Ste 200
Locust Grove, GA 30248
Phone (678) 374-7514
65 Old Jackson Rd
McDonough, GA 30252
Phone (678) 490-0080
50 Kelly Rd
Ste 200
McDonough, GA 30253
Phone (770) 957-1887
1240 Eagles Landing Pkwy
Ste 110
Stockbridge, GA 30281
Phone (770) 389-3855
145 Eagles Walk
Ste A
Stockbridge, GA 30281
Phone (770) 389-3855
1100 Hospital Dr
Stockbridge, GA 30281
Phone (678) 432-6161
233 N Houston Rd
Ste 140A
Warner Robins, GA 31093
Phone (478) 923-2843
1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155
Interoperability endpoints
- latora.williams@elfp.eclinicaldirectplus.com
Organizations & group practices 9
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.
-
- Family Medicine Physician
- Atlanta, GA
- NPI 1013018811
-
- General Acute Care Hospital
- Perry, GA
- NPI 1891808499
-
- Diagnostic Radiology Physician
- Locust Grove, GA
- NPI 1194433219
-
- General Acute Care Hospital
- Warner Robins, GA
- NPI 1962435792
-
- Family Medicine Physician
- Ellenwood, GA
- NPI 1447290218
-
- Family Medicine Physician
- Locust Grove, GA
- NPI 1710929914
-
- Sleep Medicine (Family Medicine) Physician
- Stockbridge, GA
- NPI 1922831445
-
- Multi-Specialty Clinic/Center
- Macon, GA
- NPI 1184679482
Family Medicine
-
- General Acute Care Hospital
- Macon, GA
- NPI 1043270564
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Covington, GA
- NPI 1134177835
-
- Home Health Agency
- Columbus, GA
- NPI 1750369245
-
- Home Health Agency
- Peachtree City, GA
- NPI 1730119538
-
- General Acute Care Hospital
- Perry, GA
- NPI 1891808499
-
- General Acute Care Hospital
- Warner Robins, GA
- NPI 1962435792
-
- General Acute Care Hospital
- Stockbridge, GA
- NPI 1225034333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687478400000",
"number": "1982166757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3333 RIVERWOOD PKWY SE STE 250",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303393304",
"telephone_number": "770-914-0116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1502 W 3RD ST",
"city": "JACKSON",
"state": "GA",
"postal_code": "302331979",
"telephone_number": "770-914-0116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "LATORA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-02",
"last_updated": "2023-06-23",
"certification_date": "2023-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "11470",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; 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.