LATASHA CAROTHERS
NPI 1548013592
Nurse Practitioner - Family in Collierville, TN

Q: What is Latasha Carothers's NPI number?

The NPI number for Latasha Carothers is 1548013592. It was assigned to this individual provider in the NPPES registry on April 9, 2024.

Q: What is Latasha Carothers's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Latasha Carothers was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since April 09, 2024PECOS EnrolledAccepts Medicare Assignment

490 W POPLAR AVE, COLLIERVILLE, TN 38017(731) 394-1145 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 1, 2025, Apr 9, 2024 (2 updates tracked since 2024).

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About Latasha Carothers NPPES

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

LATASHA CAROTHERS (NPI 1548013592) is an individual family provider in Collierville, Tennessee, licensed in Tennessee (39080) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Tupelo, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1548013592

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLATASHA CAROTHERS

Location Address490 W POPLAR AVECollierville, TN 38017-2538

Mailing Address2434 S Eason BlvdTupelo, MS 38804-6942 · (662) 640-4595

Phone(731) 394-1145

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateApril 9, 2024

Last NPPES UpdateJuly 1, 20252 updates tracked since enumeration

NPPES CertifiedJuly 1, 2025

✔ NPI 1548013592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TN · 39080

Also ListedRegistered NurseTaxonomy 163W00000X · License 908671 (MS)

490 W POPLAR AVE, Collierville, TN 38017

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Secondary Practice Location 1

Location 12434 S Eason BlvdTupelo, MS 38804-6942 · Phone (662) 640-4595

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, UnitedHealthcare.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

Latasha Carothers 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.

PECOS PAC ID2365958998

PECOS Enrollment IDI20250721004181, I20260401002097

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 Latasha Carothers reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ultra Health LLC

180 mi

Geriatric Medicine

217 6TH AVE N STE 43952
Nashville, TN 37219

Reassigned Medicare billing, Mississippi and Tennessee enrollments
27 clinicians in this Medicare group

NPI 1922469543 (731) 394-1145

Ultra Health Providers II LLC

180 mi

Geriatric Medicine

217 6TH AVE N STE 43952
Nashville, TN 37219

Reassigned Medicare billing, Tennessee enrollment
45 clinicians in this Medicare group

NPI 1033956057 (731) 394-1145

Ultra Health Providers III LLC

180 mi

Geriatric Medicine

217 6TH AVE N STE 43952
Nashville, TN 37219

Reassigned Medicare billing, Tennessee enrollment
5 clinicians in this Medicare group

NPI 1366307696 (731) 394-1145

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 38017 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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 6

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

COLLIERVILLE NURSING AND REHABILITATION LLC

Skilled Nursing Facility