LATASHA R FORD


Address: 3405 Mike Padgett Hwy, Augusta, GA 30906-3815
Phone: 7067927171

LATASHA R FORD (NPI# 1699261487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699261487
Entity Type Individual
Full Name LATASHA R FORD
Practice Address 3405 Mike Padgett Hwy
Augusta
GA 30906-3815
Mailing Address 1601 Huntington Dr
Augusta
GA 30909-4591
Practice Telephone 7067927171
Mailing Telephone 4783630079
Enumeration Date 2018-07-05
Last Update Date 2018-07-05
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
RN227421 GA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3405 MIKE PADGETT HWY
City AUGUSTA
State GA
Zip Code 30906-3815

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548288632 Mona H Hanna Psychiatry & Neurology 3405 Mike Padgett Hwy, Augusta, GA 30906-3815 2006-07-17
1912521394 Cassandra Groth Psychologist 3405 Mike Padgett Hwy, Augusta, GA 30906-3815 2020-06-02
1619536737 David Armando Vivas Villarreal Psychiatry & Neurology 3405 Mike Padgett Hwy, Augusta, GA 30906-3815 2019-06-12
1548781453 Tracy Casanova Psychologist 3405 Mike Padgett Hwy, Augusta, GA 30906 2017-06-30
1811448806 Christina M Daniels Nurse Practitioner 3405 Mike Padgett Hwy, Augusta, GA 30906 2016-10-14
1528489523 Laurie Ragatz Psychologist 3405 Mike Padgett Hwy, Augusta, GA 30906-3815 2013-12-18
1396176145 Linda Vitacco Psychologist 3405 Mike Padgett Hwy, Attention Patient Accounts, Augusta, GA 30906-3815 2013-12-04
1669809455 Lynne Anne Daurelle Psychologist 3405 Mike Padgett Hwy, Augusta, GA 30906-3815 2013-10-11
1255681243 Maria Bratoeva Nurse Practitioner 3405 Mike Padgett Hwy, Augusta, GA 30906-3815 2012-09-17
1114200029 Benaissa Kaddour Djebbar Nurse Practitioner 3405 Mike Padgett Hwy, East Central Regional Hospital -forensic Unit, Augusta, GA 30906-3815 2011-09-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255969432 Barton Chapel Dental Group, LLC Dentist 2755 Barton Chapel Road, Augusta, GA 30906 2020-04-01
1255897419 Pediatric Mobility Innovations Durable Medical Equipment & Medical Supplies 3114 Augusta Tech Drive Suite 404, Augusta, GA 30906 2019-02-13
1023539731 Kristy Lee Gibbs Registered Nurse 3421 Mike Padgett Hwy Bldg C, Augusta, GA 30906 2017-07-03
1194186031 Clifton Nane Williams Counselor 3230 Hampton Circle, Augusta, GA 30906 2016-03-18
1376929661 Catherine A. Ganzy Social Worker 3405 Mike Padgett Highway; Building 201, East Central Regional Hosptial, Augusta, GA 30906 2015-08-10
1962810358 Fatemeh Azadeh Paziraei Dentist 1631 Gordon Highway, Augusta Smiles Youth Dentistry, Augusta, GA 30906 2014-07-29
1568809770 Brandon Jennings Occupational Therapy Assistant 2388 Old Mcduffie Rd, Augusta, GA 30906 2013-05-29
1811266646 Eddie P Johnson IIi, Dmd, PC Preferred Provider Organization 2755 Barton Chapel Rd, Augusta, GA 30906 2011-12-23
1366739021 Kerensa A Cooks Registered Nurse 3421 Mike Padgett Highway, Serenity Behavioral Health Systems, Augusta, GA 30906 2011-07-01
1265737423 Pidcock Chiropractic, Inc. Chiropractor 3028 Peach Orchard Rd., Augusta, GA 30906 2011-01-20
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194335620 Jennifer Logan Nurse Practitioner 424 Scotts Way, Augusta, GA 30909-3135 2020-08-10
1396849980 Larry Clifford Sexton Nurse Practitioner 841 Riverside Dr., Augusta, ME 04330 2006-09-12
1154977635 Andaria Crespi Nurse Practitioner 35 Medical Center Pkwy, Augusta, ME 04330-8160 2019-08-12
1316592892 Demetra Keith Nurse Practitioner 250 Arsenal St, Augusta, ME 04330-5742 2019-08-01
1730732967 Jorie W Ohlson Nurse Practitioner 250 Arsenal St, Augusta, ME 04330-3599 2019-07-17
1083176937 Deborah Stewart Nurse Practitioner 35 Medical Center Pkwy, Augusta, ME 04330-8160 2019-04-01
1013360791 Pamela Slaughter Nurse Practitioner 35 Medical Center Pkwy, Augusta, ME 04330-8160 2016-07-19
1396111282 Anthony Onoh Nurse Practitioner 1 Freedom Way, Augusta, GA 30904 2015-08-14
1821430794 Vicky Maureen Packard Nurse Practitioner 66 Stone St, Augusta, ME 04330-5227 2013-07-22
1497031785 Bobby Morton Nurse Practitioner 1 Va Ctr, Augusta, ME 04330-6719 2011-10-31
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Competitor

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City AUGUSTA
Zip Code 30906

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Dataset Information

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.

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