Latanya Weston (NPI# 1174993026, PAC ID# 4981914595) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1174993026 |
| PAC ID by PECOS | 4981914595 |
| Professional Enrollment ID | I20151111002337 |
| Full Name | Latanya Weston |
| Organization Legal Name | EAGLE'S LANDING FAMILY PRACTICE, INC. |
| Address |
211 Fairview Rd Ellenwood GA 30294-2721 |
| Phone Number | 7705074554 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8022901925 |
| Number of Group Practice Members | 53 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500050 | PEACEHEALTH SOUTHWEST MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 211 Fairview Rd, Ellenwood, GA 30294-2721 | 7705074554 | EAGLE'S LANDING FAMILY PRACTICE, INC. |
| Organization Legal Name | EAGLE'S LANDING FAMILY PRACTICE, INC. |
| Physicians | 79 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Francisco Echevarria-santiago | Internal Medicine | Eagle's Landing Family Practice, Inc. | 1101 Nortec Sedr, Conyers, GA 30013-5835 |
| Niraj Patel | Physician Assistant | Eagle's Landing Family Practice, Inc. | 1502 W 3rd St, Jackson, GA 30233-1979 |
| Ashly E Joseph | Internal Medicine | Eagle's Landing Family Practice, Inc. | 145 Eagles Walk, Suite A, Stockbridge, GA 30281-7340 |
| Lokhana Kong | Nurse Practitioner | Eagle's Landing Family Practice, Inc. | 50 Kelly Rd, Mcdonough, GA 30253-6012 |
| Rose Kombe | Nurse Practitioner | Eagle's Landing Family Practice, Inc. | 211 Fairview Rd, Ellenwood, GA 30294-2721 |
| Maritess Thomas-ford | Nurse Practitioner | Eagle's Landing Family Practice, Inc. | 1058 Bear Creek Blvd, Hampton, GA 30228-1849 |
| Michelle Denise Bush | Nurse Practitioner | Eagle's Landing Family Practice, Inc. | 3758 Hwy 42, Locust Grove, GA 30248-3653 |
| Jennifer Brown | Physician Assistant | Eagle's Landing Family Practice, Inc. | 2200 Hwy 155 N, Mcdonough, GA 30252-4806 |
| Stephanie S Rushing | Nurse Practitioner | Eagle's Landing Family Practice, Inc. | 1100 Hospital Dr, Stockbridge, GA 30281-6381 |
| Joseph Barr | General Practice | Eagle's Landing Family Practice, Inc. | 65 Old Jackson Rd, Mcdonough, GA 30252-3095 |
| Street Address |
211 FAIRVIEW RD |
| City | ELLENWOOD |
| State | GA |
| Zip | 30294-2721 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rose Kombe | Nurse Practitioner | Eagle's Landing Family Practice, Inc. | 211 Fairview Rd, Ellenwood, GA 30294-2721 |
| Jamal Dixon | Internal Medicine | Eagle's Landing Family Practice, Inc. | 211 Fairview Rd, Ellenwood, GA 30294-2721 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Louanna Fericia Adams | Clinical Social Worker | 4204 Sweetwater Pkwy, Ellenwood, GA 30294-1554 | |
| Tamica Evelyn White | General Surgery | 4475 W Village Pkwy, Ellenwood, GA 30294-2634 | |
| Charles V Clopton Jr. | Family Medicine | 195 Fairview Rd, Ellenwood, GA 30294-2722 |
| City | ELLENWOOD |
| Zip Code | 30294 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | ELLENWOOD + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Latanya Weston.
| 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.