CASSANDRA COE LATHAM (N.P.) – Adult Health Nurse Practitioner, NPI 1568513869

CASSANDRA COE LATHAM (N.P.) is a healthcare provider. based in Brunswick, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials N.P.. They hold a License No. RN115534NP (GA). The NPI Number for CASSANDRA COE LATHAM (N.P.) is 1568513869

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
CASSANDRA COE LATHAM (N.P.)
NPI
1568513869
Phone
(912) 264-6303
Address
3222-A SHRINE ROAD
Enumeration Date
15 January 2007
Last Update Date
31 July 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9122646303
Graduation Year
2006 (20 years ago)
PAC ID
4688768849
Group Practice PAC ID
9830093640
Professional Enrollment ID
I20070919000065
Address ID
GA315204357BR3222XAXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

9,658 NURSE PRACTITIONER in GA

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Provider Addresses for CASSANDRA COE LATHAM (N.P.)

  • Shrine Road, Brunswick, Glynn County, Georgia, 31520, United States

    BRUNSWICK, GA 315204357

    Phone: (912) 264-6303

    Fax: (912) 264-6323

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 46 Open Payments records for all available years, with a total value of $906.

Total Amount is formed as General ($906) + Research ($0) + Ownership ($0) = $906.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($120).

Total Amount

$906

General + Research + Ownership

Payments

46

Total payment records

General Amount

$906

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-09-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070919000065INurse PractitionerGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes343134$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit4343$0
99213Established patient office or other outpatient visit, 20-29 minutes4033$0
87880Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)3631$0
81003Automated urinalysis test3117$0
View full utilization report →

Insurance plans in this area (ZIP 31520)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830093640View full group profile
NameSpecialtyState
Infectious DiseaseGA
Family PracticeGA
Physician AssistantGA
Family PracticeGA
Physician AssistantGA
Internal MedicineGA
-GA
Cardiovascular Disease (Cardiology), Internal MedicineGA
-GA
-GA

Reviews

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Frequently asked questions

What number should I use to identify CASSANDRA COE LATHAM (N.P.) for billing?
Administrative and clinical systems typically use NPI 1568513869 for CASSANDRA COE LATHAM (N.P.).
Quick check: is CASSANDRA COE LATHAM (N.P.) active?
Public NPPES data shows CASSANDRA COE LATHAM (N.P.) with an active NPI status right now.
How should patients interpret CASSANDRA COE LATHAM (N.P.)'s specialty?
The extract shows Adult Health Nurse Practitioner for CASSANDRA COE LATHAM (N.P.). Clinical services aligned with this taxonomy classification.
Is CASSANDRA COE LATHAM (N.P.) tied to Brunswick, Georgia?
If you are local to Brunswick, Georgia, CASSANDRA COE LATHAM (N.P.) may be relevant to your search.
Why is information missing for CASSANDRA COE LATHAM (N.P.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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