MRS. LATASHA DEVONNE JEFFERSON FNP
NPI 1457750432
Nurse Practitioner - Family in Marietta, GA
About Mrs. Latasha Devonne Jefferson Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. LATASHA DEVONNE JEFFERSON FNP (NPI 1457750432) is an individual family provider in Marietta, Georgia, licensed in Georgia (APRN-NP195618) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Latasha Devonne Jefferson Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Latasha Jefferson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Stockbridge, GA 30281
- Reassigned Medicare billing, Georgia enrollment
- 9 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, Georgia enrollment
- 488 clinicians in this Medicare group
Draper, UT 84020
- Reassigned Medicare billing, Georgia enrollment
- 8 clinicians in this Medicare group
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 30067 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MARIETTA, GA 30067
MARIETTA, GA 30067
MARIETTA, GA 30067
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 Latasha Jefferson's NPI number?
The NPI number for Latasha Jefferson is 1457750432. It was assigned to this individual provider in the NPPES registry on August 15, 2014.
Where is Latasha Jefferson located?
Latasha Jefferson practices at 2480 Windy Hill Rd SE Ste 405, Marietta, GA 30067. The listed phone number is (800) 640-3451.
What is Latasha Jefferson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Latasha Jefferson enrolled in Medicare?
Yes. Latasha Jefferson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Latasha Jefferson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Latasha Jefferson reassigns Medicare benefits to 3 organizations: Caritas Medical Center (Stockbridge, GA), Signify Health Medical Associates, PLLC (Dallas, TX) and Spencer J Hardenbrook MD PC (Draper, UT). Each 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 Latasha Jefferson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Latasha Jefferson accept?
Health plans from Ambetter Health list Latasha Jefferson 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 Latasha Jefferson was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.
# Mrs. Latasha Devonne Jefferson, FNP · NPI 1457750432
Family physician in Marietta, Georgia. Individual provider, active in the CMS NPPES registry since August 15, 2014.
## Identity
- **NPI:** 1457750432 (Entity type: Individual)
- **Enumerated:** August 15, 2014
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APRN-NP195618 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 2480 WINDY HILL RD SE STE 405, Marietta, GA 30067-8658
- **Phone:** (800) 640-3451
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Caritas Medical Center (NPI 1245390681, Stockbridge, GA); Signify Health Medical Associates, PLLC (NPI 1750845863, Dallas, TX); Spencer J Hardenbrook MD PC (NPI 1073909594, Draper, UT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** October 21, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1457750432) · Data from the CMS NPPES public registry.