1. Home
  2. Directory
  3. Georgia
  4. Cordele
  5. Nurse Practitioner
  6. NPI Profile

MR. WILLIE LEE LATTIMORE N.P.
NPI 1194046961
Nurse Practitioner in Cordele, GA

Active since June 16, 2010PECOS Enrolled
902 N 7TH ST # 100, CORDELE, GA 31015(229) 276-3100 Get Directions Write a Review

NPPES record last updated: March 19, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Willie Lee Lattimore N.p. NPPES

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

MR. WILLIE LEE LATTIMORE N.P. (NPI 1194046961) is an individual nurse practitioner in Cordele, Georgia, licensed in Georgia (RN102042) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS and maintains a secondary practice location in Albany.

NPPES Registry Identity

NPI1194046961
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMR. WILLIE LEE LATTIMORECredential: N.P.
Location Address902 N 7TH ST # 100Cordele, GA 31015-3234
Mailing AddressPo Box 408Albany, GA 31702-0408 · (706) 354-5770 · Fax (706) 354-5769
Phone(229) 276-3100
Sole ProprietorNo
Enumeration DateJune 16, 2010
Last NPPES UpdateMarch 19, 2021
NPPES CertifiedMarch 19, 2021
✔ NPI 1194046961 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in GA · RN102042
Definition
(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.
902 N 7TH ST # 100, Cordele, GA 31015
Open in Google Maps ↗

Secondary Practice Location 1

Location 11913 Palmyra RdAlbany, GA 31701-1574 · Phone (706) 354-5770 ext. 259 · Fax (706) 354-5769

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Willie Lee Lattimore N.p. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31015 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AFOLABI TIAMIYU MD
Emergency Medicine
902 N 7TH ST # 100
CORDELE, GA 31015
Crisp County (229) 276-3100
DAVID KAVTARADZE MD INC
Internal Medicine
902 N 7TH ST # 100
CORDELE, GA 31015
Crisp County (229) 276-2286

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 Willie Lattimore's NPI number?

The NPI number for Willie Lattimore is 1194046961. It was assigned to this individual provider in the NPPES registry on June 16, 2010.

Where is Willie Lattimore located?

Willie Lattimore practices at 902 N 7th St # 100, Cordele, GA 31015. The listed phone number is (229) 276-3100.

What is Willie Lattimore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Willie Lattimore enrolled in Medicare?

Yes. Willie Lattimore is registered in the Medicare PECOS enrollment system.

What insurance does Willie Lattimore accept?

Health plans from Alliant Health Plans, Inc. list Willie Lattimore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Willie Lattimore was last updated on March 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.