Latasha M Burgess (NPI# 1639240765, PAC ID# 3870502131) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1639240765 |
| PAC ID by PECOS | 3870502131 |
| Professional Enrollment ID | I20060413000518 |
| Full Name | Latasha M Burgess |
| Address |
362 Augusta Seave Atlanta GA 30315-1448 |
| Gender | F |
| Credential | MD |
| Medical School | EMORY UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110115 | WELLSTAR ATLANTA MEDICAL CENTER |
| 110215 | PIEDMONT FAYETTE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 362 Augusta Seave, Atlanta, GA 30315-1448 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Street Address |
362 AUGUSTA SEAVE |
| City | ATLANTA |
| State | GA |
| Zip | 30315-1448 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy B Brown | Obstetrics/gynecology | Southside Medical Center, Inc. | 1039 Ridge Ave Sw, Atlanta, GA 30315-1601 |
| Barbara L Mcmillan-persaud | Family Practice | Southside Medical Center, Inc. | 1039 Ridge Ave Sw, Atlanta, GA 30315-1601 |
| David Worth | Optometry | Southside Medical Center, Inc. | 1039 Ridge Ave Sw, Atlanta, GA 30315-1601 |
| David M Williams | Family Medicine | Southside Medical Center, Inc. | 1046 Ridge Ave Sw, Atlanta, GA 30315-1640 |
| Enoch Kotei | Internal Medicine | Southside Medical Center, Inc. | 1046 Ridge Ave Sw, Atlanta, GA 30315-1640 |
| Frazier B Todd | Podiatry | Southside Medical Center, Inc. | 1046 Ridge Ave Sw, Atlanta, GA 30315-1640 |
| Katerin Ortiz | Optometry | Southside Medical Center, Inc. | 1046 Ridge Ave Sw, Atlanta, GA 30315-1640 |
| Donna C Sinclair | Obstetrics/gynecology | Southside Medical Center, Inc. | 1046 Ridge Ave Sw, Atlanta, GA 30315-1640 |
| Curtis L Champion | Emergency Medicine | Southside Medical Center, Inc. | 1046 Ridge Ave Sw, Atlanta, GA 30315-1640 |
| John W Houser | General Practice | Southside Medical Center, Inc. | 1046 Ridge Ave Sw, Atlanta, GA 30315-1640 |
| Find all physicians in zip 30315 | |||
| City | ATLANTA |
| Zip Code | 30315 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | ATLANTA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Latasha M Burgess.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.