MR. WILLIE LEE LATTIMORE (N.P.) – Nurse Practitioner, NPI 1194046961
Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MR. WILLIE LEE LATTIMORE (N.P.)
1913 PALMYRA RD
ALBANY, GA 317011574
Phone: (706) 354-5770
Fax: (706) 354-5769
Type: Location
1913 Palmyra Rd
Albany, GA 317011574
Phone: (706) 354-5770
Fax: (706) 354-5769
Type: Location
PO BOX 408
ALBANY, GA 317020408
Phone: (706) 354-5770
Fax: (706) 354-5769
Type: Mailing
902 N 7TH ST # 100
CORDELE, GA 310153234
Phone: (229) 276-3100
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2010-08-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-08-31 (1012 days ago).
Enrollment records
1
Earliest due date
2023-08-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100812000149 | I | Nurse Practitioner | GA | 2023-08-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99283 | Emergency department visit with low level of medical decision making | 35 | 34 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 17 | 17 | $0 |
Insurance plans in this area (ZIP 31701)
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