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MRS. LETISHA A. GARTH-VILLES APRN
NPI 1164902482
Nurse Practitioner - Family in Brookhaven, MS

Active since August 16, 2018PECOS Enrolled
1359 GLORIA TRL NE, BROOKHAVEN, MS 39601(601) 748-0405 Get Directions Write a Review

NPPES record last updated: April 1, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 1, 2019, Jan 15, 2019, Aug 16, 2018 (3 updates tracked since 2018).

About Mrs. Letisha A. Garth-villes Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. LETISHA A. GARTH-VILLES APRN (NPI 1164902482) is an individual family provider in Brookhaven, Mississippi, licensed in Mississippi (902844) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164902482
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. LETISHA A. GARTH-VILLESCredential: APRN
Location Address1359 GLORIA TRL NEBrookhaven, MS 39601-9572
Mailing Address1359 Gloria Trl NeBrookhaven, MS 39601-9572 · (601) 748-0405
Phone(601) 748-0405
Sole ProprietorNo
Enumeration DateAugust 16, 2018
Last NPPES UpdateApril 1, 20223 updates tracked since enumeration
NPPES CertifiedApril 1, 2022
✔ NPI 1164902482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MS · 902844
1359 GLORIA TRL NE, Brookhaven, MS 39601
Open in Google Maps ↗

Other Names 1

Former Name (1)Letisha Villes Aprn

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Letisha A. Garth-villes Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Letisha Garth-villes reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Care Health Network LLC
381 mi
Nurse Practitioner
424 CHURCH ST STE 220
Nashville, TN 37219
  • Reassigned Medicare billing, Mississippi enrollment
  • 195 clinicians in this Medicare group
NPI 1619368842 (877) 564-3627

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Letisha Garth-villes's NPI number?

The NPI number for Letisha Garth-villes is 1164902482. It was assigned to this individual provider in the NPPES registry on August 16, 2018. The provider is also known as Letisha Villes Aprn.

Where is Letisha Garth-villes located?

Letisha Garth-villes practices at 1359 Gloria Trl NE, Brookhaven, MS 39601. The listed phone number is (601) 748-0405.

What is Letisha Garth-villes's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Letisha Garth-villes enrolled in Medicare?

Yes. Letisha Garth-villes is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Letisha Garth-villes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Letisha Garth-villes reassigns Medicare benefits to Community Care Health Network LLC (Nashville, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Letisha Garth-villes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Letisha Garth-villes was last updated on April 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.