LATANYA R SMITH (NPI# 1346595378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346595378 |
| Entity Type | Individual |
| Full Name | LATANYA R SMITH |
| Other Name | LATANYA R GATHERS |
| Credential | FNP |
| Practice Address |
9465 Highway 5 Douglasville GA 30135-1509 |
| Mailing Address |
2727 Paces Ferry Rd Se Ste 1-1100 Atlanta GA 30339-6151 |
| Practice Telephone | 6787321513 |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2020-01-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN189368 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1395 S Marietta Pkwy Se # 400, Marietta, GA 300674440 | 6788782950 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881105187 | Latanya Denise Smith | Nurse Practitioner | 5454 Newcastle St Apt 1144, Houston, TX 77081-2224 | 2017-10-13 |
| 1093104226 | Latanya Renee Smith | Occupational Therapy Assistant | 13008 Gramercy Pl, Gardena, CA 90249-1810 | 2015-01-12 |
| 1831719194 | Latanya Nicole Smith | In Home Supportive Care | 5905 Nassau Rd, Philadelphia, PA 19151-3525 | 2020-04-16 |
| 1386296861 | Latanya Marie Smith | Counselor | 1111 Market St, San Francisco, CA 94103-1509 | 2019-07-15 |
| 1649754763 | Latanya T Smith | Licensed Practical Nurse | 5982 Rhodes Rd, Kent, OH 44240-8100 | 2018-09-25 |
| Street Address |
9465 HIGHWAY 5 |
| City | DOUGLASVILLE |
| State | GA |
| Zip Code | 30135-1509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114932324 | Walgreen Co | Pharmacy | 9465 Highway 5, Douglasville, GA 30135-1509 | 2006-07-29 |
| 1295272532 | Crystal Marie Branch | Nurse Practitioner | 9465 Highway 5, Douglasville, GA 30135 | 2017-01-25 |
| 1942580493 | Gaynell Williams George | Pharmacist | 9465 Highway 5, Douglasville, GA 30135-1509 | 2011-08-27 |
| 1508196700 | Saye Gorgor | Nurse Practitioner | 9465 Highway 5, Douglasville, GA 30135-1509 | 2010-01-11 |
| 1861560286 | Rediclinic LLC | Clinic/Center | 9465 Highway 5, Douglasville, GA 30135 | 2006-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265043301 | Heart & Soul Wellness Solutions LLC | Social Worker | 4752 Pepper Tree Lane, Douglasville, GA 30135 | 2020-08-12 |
| 1477176923 | R & J Health Care | Clinic/Center | 6853b Douglas Blvd Ste B, Douglasville, GA 30135 | 2020-05-19 |
| 1003479411 | The Sister Circle of Love and Empowerment LLC | Clinic/Center | 4706 Boyer Glen Dr., Douglasville, GA 30135 | 2019-04-22 |
| 1457825358 | Marcia Ann-marie Wilson | Nurse Practitioner | 4279 Caroline Court, Douglasville, GA 30135 | 2019-01-14 |
| 1225564917 | Danielle Doebereiner-brown | Nurse Practitioner | 3872 Ga-5, Douglasville, GA 30135 | 2017-05-02 |
| 1851832430 | Jennifer Williams | Physical Therapist | 4999 Presley Mill Rd, Douglasville, GA 30135 | 2017-03-15 |
| 1316484686 | Geneva Brent | Licensed Practical Nurse | 2109 Fairburn Road, Douglasville, GA 30135 | 2017-01-25 |
| 1659816288 | Stephanie Walthour | Marriage & Family Therapist | 3400 Chapel Hill Rd Ste 317, Douglasville, GA 30135 | 2017-01-05 |
| 1770932105 | Solutions 2 Wellness and Recovery,llc | Social Worker | 2256 Greenwood Meadows Lane, Douglasville, GA 30135 | 2016-06-07 |
| 1326408378 | Sr & L Transport Services, LLC | Non-emergency Medical Transport (VAN) | 4841 Black Bear Trail, Douglasville, GA 30135 | 2016-03-03 |
| Find all providers in zip 30135 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710298 | Karen F Frazier | Nurse Practitioner | 6610 Crest Wood Ln, Douglasville, GA 30135-9046 | 2020-11-04 |
| 1851915631 | Lilian Pereira | Nurse Practitioner | Bethesda Medical Group, LLC, 9280 Hwy 5 - Suite D, Douglasville, GA 30134 | 2020-06-08 |
| 1184268682 | Rasheedat Adunni Ibrahim | Nurse Practitioner | 6712 Brookfield Way, Douglasville, GA 30134-1461 | 2019-10-29 |
| 1538717475 | Shantel Brown | Nurse Practitioner | 3347 Surveyor Ct, Douglasville, GA 30135-8102 | 2019-09-03 |
| 1457825358 | Marcia Ann-marie Wilson | Nurse Practitioner | 4279 Caroline Court, Douglasville, GA 30135 | 2019-01-14 |
| 1962986224 | Sherry-ann Francis-grant | Nurse Practitioner | 6510 Manor Creek Dr, Douglasville, GA 30135-3681 | 2018-09-21 |
| 1891278602 | Monique Danielle Jasper | Nurse Practitioner | 3090 Stone Oak Dr, Douglasville, GA 30135-1903 | 2018-09-09 |
| 1720560006 | Chinelo Emekwue | Nurse Practitioner | 2361 Salah Cir, Douglasville, GA 30135-8159 | 2018-09-03 |
| 1598269250 | Medicas Medical Clinic, LLC | Nurse Practitioner | 5846 Stewart Pkwy, Douglasville, GA 30135-2374 | 2018-03-19 |
| 1477083913 | Angela Long | Nurse Practitioner | 6126 Prestley Mill Rd Ste H, Douglasville, GA 30134-5624 | 2017-06-18 |
| Find all providers in DOUGLASVILLE | ||||
| City | DOUGLASVILLE |
| Zip Code | 30135 |
Please comment or provide details below to improve the information on LATANYA R SMITH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.