DR. LATANIA K. LOGAN M.D., MSPH
NPI 1558517144
Pediatrics - Pediatric Infectious Diseases in Atlanta, GA

Q: What is Latania Logan's NPI number?

The NPI number for Latania Logan is 1558517144. It was assigned to this individual provider in the NPPES registry on August 14, 2008. The provider is also known as Dr. Latania K. Broyls M.D..

Q: What is Latania Logan's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Infectious Diseases, with taxonomy code 2080P0208X.

Q: When was this NPI record last updated?

The NPPES record for Latania Logan was last updated on June 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 August 14, 2008PECOS Enrolled

1400 TULLIE RD NE, ATLANTA, GA 30329(404) 785-5437 Get Directions Write a Review

NPPES record last updated: June 29, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Dr. Latania K. Logan M.d., Msph NPPES

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

DR. LATANIA K. LOGAN M.D., MSPH (NPI 1558517144) is an individual pediatric infectious diseases provider in Atlanta, Georgia, licensed in Georgia (92099) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1558517144

Entity TypeIndividualFemale

Primary Taxonomy2080P0208X

Provider Legal NameDR. LATANIA K. LOGANCredential: M.D., MSPH

Location Address1400 TULLIE RD NEAtlanta, GA 30329-2309

Mailing Address1725 W Harrison St, Ste 710Chicago, IL 60612-3841 · (312) 942-6396 · Fax (312) 942-4168

Phone(404) 785-5437

Sole ProprietorNo

Enumeration DateAugust 14, 2008

Last NPPES UpdateJune 29, 2022

NPPES CertifiedApril 21, 2022

✔ NPI 1558517144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Infectious DiseasesAllopathic & Osteopathic Physicians

Taxonomy Code2080P0208X

Licenses✔ Licensed in GA · 92099✔ Licensed in IL · 036-113313

Definition

A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments.

Also ListedPediatricsTaxonomy 208000000X · License 036-113313 (IL)

1400 TULLIE RD NE, Atlanta, GA 30329

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Other Names 1

Former Name (1)Dr. Latania K. Broyls M.d.

Secondary Practice Location 1

Location 11725 W Harrison St, Ste 710Chicago, IL 60612-3841 · Phone (312) 942-6396 · Fax (312) 942-4168

Other Identifiers 3

Other336-074676IL · State License, Controlled Substance

Other92099GA · State License Number

Other036-113313IL · State License Number

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. Latania K. Logan M.d., Msph 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.

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.

ANH VAN TRIEU PA-C

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