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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LATISHA GRAHAM
NPI 1780052555
Nurse Practitioner - Psychiatric/Mental Health in Lawrenceville, GA

Active since September 09, 2015
175 GWINNETT DR, LAWRENCEVILLE, GA 30046(678) 209-2411 Get Directions Write a Review

NPPES record last updated: October 23, 2026. Verified against the NPPES registry weekly; last sync: November 08, 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 psychiatric/mental health provider in Lawrenceville, Georgia, licensed in Georgia (RN212577) and active in the NPI registry since September 2015.

NPPES Registry Identity

NPI1780052555
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameLATISHA GRAHAM
Location Address175 GWINNETT DRLawrenceville, GA 30046-8444
Mailing Address175 Gwinnett DrLawrenceville, GA 30046-8444 · (678) 209-2411
Phone(678) 209-2411
Sole ProprietorYes
Enumeration DateSeptember 9, 2015
Last NPPES UpdateOctober 23, 2026
NPPES CertifiedOctober 23, 2026
✔ NPI 1780052555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in GA · RN212577
Also ListedFamily Medicine · Adult MedicineTaxonomy 207QA0505X · License A0615004 (GA)
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License RN212577 (GA)
175 GWINNETT DR, Lawrenceville, GA 30046
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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.

MS. KATHERINE ANNE STURGIS
Counselor
175 GWINNETT DR
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 209-2394
FATIMA FLYNN MS
Counselor
175 GWINNETT DR
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 209-2394
HARRIET ADIGWU RN
Registered Nurse
175 GWINNETT DR
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 209-2394
ROSE MARY AGUILAR
Behavior Technician
175 GWINNETT DR
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 209-2394
ANGELLA BRAMWELL
Counselor (Mental Health)
175 GWINNETT DR
LAWRENCEVILLE, GA 30046
Gwinnett County (770) 339-2395
INDIA N HUDSON LPN
Licensed Practical Nurse
175 GWINNETT DR
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 209-2394
MRS. LATRINA GRAHAM RN
Registered Nurse
175 GWINNETT DR
LAWRENCEVILLE, GA 30046
Gwinnett County (678) 209-2394
MR. JAHID KWAKU ROSS NURSE PRACTITIONER
Nurse Practitioner (Family)
175 GWINNETT DR
LAWRENCEVILLE, GA 30046
Gwinnett County (404) 209-2394

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 175 Gwinnett Dr, Lawrenceville, GA 30046. The listed phone number is (678) 209-2411.

What is Latisha Graham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Latisha Graham was last updated on October 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.