DR. ELISE MARIE DE LATOUR DDS
NPI 1235511858
Dentist - General Practice in Augusta, GA

Q: What is Elise De Latour's NPI number?

The NPI number for Elise De Latour is 1235511858. It was assigned to this individual provider in the NPPES registry on June 19, 2015. The provider is also known as Elise Marie Hartmann Dds.

Q: What is Elise De Latour's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Elise De Latour was last updated on April 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 19, 2015PECOS Enrolled

1430 JOHN WESLEY GILBERT DRIVE, AUGUSTA, GA 30912(706) 721-2371(706) 721-6778 Get Directions Write a Review

NPPES record last updated: April 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 13, 2023, Jul 7, 2022, Apr 17, 2018 (3 updates tracked since 2018).

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About Dr. Elise Marie De Latour Dds NPPES

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

DR. ELISE MARIE DE LATOUR DDS (NPI 1235511858) is an individual general practice provider in Augusta, Georgia, licensed in Georgia (DNF000450) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235511858

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. ELISE MARIE DE LATOURCredential: DDS

Location Address1430 JOHN WESLEY GILBERT DRIVEAugusta, GA 30912-0001

Mailing Address1430 John Wesley Gilbert DriveAugusta, GA 30912-0001 · (706) 721-2371 · Fax (706) 721-6778

Phone(706) 721-2371

Fax(706) 721-6778

Sole ProprietorNo

Enumeration DateJune 19, 2015

Last NPPES UpdateApril 13, 20233 updates tracked since enumeration

NPPES CertifiedApril 13, 2023

✔ NPI 1235511858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Licenses✔ Licensed in GA · DNF000450✔ Licensed in FL · DN24440

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1430 JOHN WESLEY GILBERT DRIVE, Augusta, GA 30912

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Other Names 1

Former Name (1)Elise Marie Hartmann Dds

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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)

Dr. Elise Marie De Latour Dds 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 30912 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

$66.89 typical visit price

range $16.68 – $133.24

Typical copayment $16.72 (range $4.17 – $33.31)

Most-billed visit code 99213

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 20

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

DR. GEOFFREY ALLEN THOMPSON DDS, MS

Dentist (Prosthodontics)