Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1194046961 Individual Practitioner Male Practitioner

Willie Lee Lattimore , NP

Nurse Practitioner • Cordele, GA

Professional Overview & Biography Verified Profile Summary

Willie Lattimore, NP is a registered healthcare professional specializing in Nurse Practitioner in Cordele, GA. Practice services are available at 902 N 7TH ST # 100 under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit with low level of medical decision making, emergency department visit with moderate level of medical decision making, emergency department visit with straightforward medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

902 N 7th St # 100

Cordele, GA 310153234

Telephone 2292763100
Associated Practice Facility / Clinic
🏢 David Kavtaradze Md Inc Facility NPI 1386959179

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Cordele, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.3 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
12 Specialists

Practicing in Cordele, GA (3149 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
86.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99283 Emergency department visit with low level of medical decision making
35 34 $550.00 $59.41
99284 Emergency department visit with moderate level of medical decision making
17 17 $650.00 $99.97

Medical Specialties & State Licenses

CMS Verified: 2021-03-19
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License GA RN102042

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Secondary Practice Locations

1913 Palmyra Rd

Albany, GA 317011574

Phone: 7063545770

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

31 Associated Practitioners
Brandi Newman

Nurse Practitioner

NPI 1023576170
Dr. Afolabi Tiamiyu , MD

Emergency Medicine

NPI 1043472061

Doctor of Medicine (M.D.)

Deanna Thompson , NP-C

Nurse Practitioner - Family

NPI 1073125159

Nurse Practitioner (Certified)

Dr. Guy Young , MD

Anesthesiology

NPI 1124238878

Doctor of Medicine (M.D.)

Dr. Jack Royal , MD

Anesthesiology

NPI 1134483878

Doctor of Medicine (M.D.)

Oscar Teal , NP

Nurse Practitioner - Family

NPI 1144698887

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location March 19, 2021

Registered at 902 N 7TH ST # 100, CORDELE, GA 310153234 (Tel: 2292763100)

NPI Profile Active June 16, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location June 16, 2010

Registered at 1913 PALMYRA RD, ALBANY, GA 317011574 (Tel: 7063545770)

📍
Updated Business Mailing Address June 16, 2010

Registered at PO BOX 408, ALBANY, GA 317020408 (Tel: 7063545770)

👤
Provider Name / Credentials Updated June 16, 2010

Recorded as WILLIE LATTIMORE, N.P.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 16, 2010

Nurse Practitioner (License #RN102042 in GA)

🟢
Initial NPI Registration & Enumeration June 16, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Willie Lattimore. Be the first to share your experience!

Sign in to leave a review for Willie Lattimore

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1194046961
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 16, 2010
Last Update: March 19, 2021
Sole Proprietor: No

Mailing Address

Po Box 408

Albany, GA 317020408

Phone: 7063545770

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.