LATORI DIANE WILSON ROBERTS NURSE PRACTITIONER
NPI 1477225902
Nurse Practitioner - Family in Atlanta, GA

Q: What is Latori Wilson Roberts's NPI number?

The NPI number for Latori Wilson Roberts is 1477225902. It was assigned to this individual provider in the NPPES registry on October 4, 2021. The provider is also known as Latori Diane Wilson Nurse Practitioner.

Q: What is Latori Wilson Roberts's specialty?

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

Active since October 04, 2021PECOS Enrolled

1055 HOWELL MILL RD NW, ATLANTA, GA 30318(866) 849-0692 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 25, 2026, Jan 30, 2026, Nov 24, 2025 and 5 more (8 updates tracked since 2021).

On this page

About Latori Diane Wilson Roberts Nurse Practitioner NPPES

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

LATORI DIANE WILSON ROBERTS NURSE PRACTITIONER (NPI 1477225902) is an individual family provider in Atlanta, Georgia, licensed in Mississippi (904922) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Hermanville.

NPPES Registry Identity

NPI1477225902

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLATORI DIANE WILSON ROBERTSCredential: NURSE PRACTITIONER

Location Address1055 HOWELL MILL RD NWAtlanta, GA 30318-5557

Mailing AddressPo Box 211699Eagan, MN 55121-3699 · (866) 849-0692

Phone(866) 849-0692

Sole ProprietorNo

Enumeration DateOctober 4, 2021

Last NPPES UpdateMarch 25, 20268 updates tracked since enumeration

NPPES CertifiedMarch 25, 2026

✔ NPI 1477225902 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

Licenses✔ Licensed in MS · 904922✔ Licensed in OH · 0039494✔ Licensed in GA · GAA-NP003696✔ Licensed in KY · 4043239✔ Licensed in CO · CAPN.0104600-C-NP✔ Licensed in TX · 1216424✔ Licensed in KS · 53-85201-032✔ Licensed in SC · 30615✔ Licensed in FL · APRN11040265✔ Licensed in AL · 3-002438✔ Licensed in IA · A190207✔ Licensed in OR · 10046480✔ Licensed in OK · 226273✔ Licensed in NE · 116609✔ Licensed in AZ · 328137

1055 HOWELL MILL RD NW, Atlanta, GA 30318

Open in Google Maps ↗

Other Names 1

Professional Name (2)Latori Diane Wilson Nurse Practitioner

Secondary Practice Location 1

Location 16020 Shelby RdHermanville, MS 39086-9618 · Phone (601) 529-3390

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Latori Diane Wilson Roberts Nurse Practitioner 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 Reassignments

Medicare enrollment records show Latori Wilson Roberts reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Upperline Healthcare, PC

140 mi

Foot & Ankle Surgery

2116 CHAPEL HILL RD
Hoover, AL 35216

Reassigned Medicare billing, Mississippi enrollment
207 clinicians in this Medicare group

NPI 1538686498 (407) 219-5402

Fast Pace Mississippi, PLLC

268 mi

Rural Health

517 CITY AVE S
Ripley, MS 38663

Reassigned Medicare billing, Mississippi enrollment
463 clinicians in this Medicare group

NPI 1447769559 (662) 587-8206

H E A L Mississippi

351 mi

Clinic/Center

338 OAK ST
Jackson, MS 39203

Reassigned Medicare billing, Mississippi enrollment
3 clinicians in this Medicare group

NPI 1710659453 (601) 329-5751

Devoted Medical Group Professional Corporation

589 mi

Primary Care

880 SW 145TH AVE STE 202
Pembroke Pines, FL 33027

Reassigned Medicare billing, Mississippi enrollment
10 clinicians in this Medicare group

NPI 1245838168 (866) 849-0692

Signify Health, LLC

721 mi

General Practice

4055 VALLEY VIEW LN STE 700
Dallas, TX 75244

Reassigned Medicare billing, Mississippi enrollment
202 clinicians in this Medicare group

NPI 1689158487 (469) 466-7007

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

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

38 services15 patients

Assessment of emotional or behavioral problems 96127

Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.

30 services16 patients

Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811

This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.

20 services16 patients

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880

A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.

15 services13 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30318 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

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

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 20

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

ALEXANDRIA SCOTT NIX APRN, FNP-C

Nurse Practitioner (Family)