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LATISHA GRAHAM
NPI 1780052555
Nurse Practitioner - Adult Health in Loganville, GA

Active since September 09, 2015
2701 HONEY LOCUST CT, LOGANVILLE, GA 30052(770) 694-3094 Get Directions Write a Review

NPPES record last updated: March 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Latisha Graham NPPES

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

LATISHA GRAHAM (NPI 1780052555) is an individual adult health provider in Loganville, Georgia, licensed in Georgia (RN212577) and active in the NPI registry since September 2015.

NPPES Registry Identity

NPI1780052555
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameLATISHA GRAHAM
Location Address2701 HONEY LOCUST CTLoganville, GA 30052-6024
Mailing Address2701 Honey Locust CtLoganville, GA 30052-6024 · (770) 694-3094
Phone(770) 694-3094
Sole ProprietorYes
Enumeration DateSeptember 9, 2015
Last NPPES UpdateMarch 26, 2026
NPPES CertifiedMarch 26, 2026
✔ NPI 1780052555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in GA · RN212577
Also ListedFamily Medicine · Adult MedicineTaxonomy 207QA0505X · License A0615004 (GA)
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License RN212577 (GA)
2701 HONEY LOCUST CT, Loganville, GA 30052
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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 Latisha Graham's NPI number?

The NPI number for Latisha Graham is 1780052555. It was assigned to this individual provider in the NPPES registry on September 9, 2015.

Where is Latisha Graham located?

Latisha Graham practices at 2701 Honey Locust Ct, Loganville, GA 30052. The listed phone number is (770) 694-3094.

What is Latisha Graham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Latisha Graham was last updated on March 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.