Individual provider Active NPI

Latalya Louis, NP

  • Family Nurse Practitioner
  • Carrollton, GA
National Provider Identifier
1992100267
Registry record updated Feb 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN142821 Issued in GA
Practice address
1735 S Highway 27
Carrollton, GA 30117-8941
Phone
(678) 491-2817
NPI assigned
Oct 29, 2014
Last updated
Feb 9, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 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 RN142821 GA Primary

Addresses

Primary practice location

1735 S Highway 27
Carrollton, GA 30117-8941

Mailing address

1735 S Highway 27
Carrollton, GA 30117-8941
Phone (678) 491-2817

Other names 1

  • Mrs. Latalya Louis Other name

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
I20150729009434 GA Practitioner - Nurse Practitioner 0749594166 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inara Health and Wellness CurrentSince Jul 1, 2023 Accepting new patients
Peace of Mind Psychiatric Services PC CurrentSince Aug 1, 2022 Accepting new patients
Lotus Group LLC Family CurrentSince Jul 1, 2023 Accepting new patients

Locations

3338 Dogwood Dr
Hapeville, GA 30354
Phone (678) 428-3191

1605 Vernon Rd
Ste 1600
Lagrange, GA 30240
Phone (706) 407-1624

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1414540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549670400000",
    "number": "1992100267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 S HIGHWAY 27",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301178941",
            "telephone_number": "678-491-2817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 S HIGHWAY 27",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301178941",
            "telephone_number": "678-491-2817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUIS",
        "first_name": "LATALYA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-29",
        "last_updated": "2019-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN142821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LATALYA",
            "last_name": "LOUIS",
            "prefix": "MRS.",
            "credential": "NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Carrollton, GA

Sources for this page

Verify at the official NPI Registry.