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LATOYA S. ETHERIDGE M.D.
NPI 1972762821
Family Medicine in Malden, MA

Active since June 05, 2008PECOS EnrolledAccepts Medicare Assignment
178 SAVIN ST STE 100, HALLMARK HEALTH MEDICAL ASSOCIATES INC., MALDEN, MA 02148(781) 338-7400(781) 338-7405 Get Directions Write a Review

NPPES record last updated: May 2, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Latoya S. Etheridge M.d. NPPES

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

LATOYA S. ETHERIDGE M.D. (NPI 1972762821) is an individual family medicine provider in Malden, Massachusetts, licensed in Massachusetts (249317) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital Cherokee, and is a graduate of Boston University School Of Medicine (2008).

NPPES Registry Identity

NPI1972762821
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameLATOYA S. ETHERIDGECredential: M.D.
Location Address178 SAVIN ST STE 100, HALLMARK HEALTH MEDICAL ASSOCIATES INC.Malden, MA 02148-3591
Mailing Address178 Savin St Ste 100, Hallmark Health Medical Associates Inc.Malden, MA 02148-3591 · (781) 338-7400 · Fax (781) 338-7405
Phone(781) 338-7400
Fax(781) 338-7405
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 2008
Enumeration DateJune 5, 2008
Last NPPES UpdateMay 2, 2012
✔ NPI 1972762821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MA · 249317
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 237282 (MA)
178 SAVIN ST STE 100, Malden, MA 02148
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama 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 and accepts Medicare assignment

Latoya S. Etheridge M.d. 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 ID2466625843
PECOS Enrollment IDI20160106000690
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

3

Medicare enrollment records show Latoya Etheridge reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wellstar Medical Group, LLC
920 mi
Family Medicine
687 MARIETTA HWY
Canton, GA 30114
  • Reassigned Medicare billing, Georgia enrollment
  • 3,885 clinicians in this Medicare group
NPI 1386054278 (770) 479-8040
North Georgia Internal Medicine, PC
928 mi
Internal Medicine
1192 BUCKHEAD XING, SUITE E
Woodstock, GA 30189
  • Reassigned Medicare billing, Georgia enrollment
  • 6 clinicians in this Medicare group
NPI 1619996907 (678) 494-4450
Qcpi-Villagemd, PC
932 mi
Family Medicine
3445 PEACHTREE RD NE STE 1200
Atlanta, GA 30326
  • Reassigned Medicare billing, Georgia enrollment
  • 115 clinicians in this Medicare group
NPI 1558872432 (770) 822-6853

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 3

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
35 services32 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
14 services14 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northside Hospital Cherokee

Acute Care Hospitals · Canton, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110008
Location450 Northside Cherokee BoulevardCanton, GA 30115 · Cherokee County
Emergency services Birthing friendly

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110035
Location677 Church StreetMarietta, GA 30060 · Cobb County
Emergency services Birthing friendly

Wellstar North Fulton Hospital

Acute Care Hospitals · Roswell, GA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number110198
Location3000 Hospital BoulevardRoswell, GA 30076 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02148 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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 9

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

DR. KRISTYN M NEWHALL MD
Family Medicine
178 SAVIN ST STE 100, HALLMARK HEALTH MEDICAL ASSOCIATES
MALDEN, MA 02148
Middlesex County (781) 338-7400
DR. JESSICA ANNE ZAKS M.D.
Family Medicine
178 SAVIN ST STE 100
MALDEN, MA 02148
Middlesex County (781) 338-7400
MS. SHARON JELENA PHILLIPS M.D.
Family Medicine
178 SAVIN ST STE 100
MALDEN, MA 02148
Middlesex County (781) 338-7400
GRETA SEIRIOL GANIA D.O.
Family Medicine
178 SAVIN ST STE 100
MALDEN, MA 02148
Middlesex County (781) 338-7400
EMILY SY NP
Nurse Practitioner (Family)
178 SAVIN ST STE 100
MALDEN, MA 02148
Middlesex County (781) 338-7400
CONSTANCE EMILY CAMMARATA DO
Family Medicine
178 SAVIN ST STE 100
MALDEN, MA 02148
Middlesex County (781) 338-7400
LIEU T. TRAN MD
Family Medicine
178 SAVIN ST STE 100
MALDEN, MA 02148
Middlesex County (781) 338-7400
DR. LEIGH M TAYLOR PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
178 SAVIN ST STE 100
MALDEN, MA 02148
Middlesex County (781) 338-7400

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 Latoya Etheridge's NPI number?

The NPI number for Latoya Etheridge is 1972762821. It was assigned to this individual provider in the NPPES registry on June 5, 2008.

Where is Latoya Etheridge located?

Latoya Etheridge practices at 178 Savin St Ste 100 Hallmark Health Medical Associates Inc., Malden, MA 02148. The listed phone number is (781) 338-7400.

What is Latoya Etheridge's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Latoya Etheridge enrolled in Medicare?

Yes. Latoya Etheridge is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Latoya Etheridge's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Latoya Etheridge reassigns Medicare benefits to 3 organizations: Wellstar Medical Group, LLC (Canton, GA), North Georgia Internal Medicine, PC (Woodstock, GA) and Qcpi-Villagemd, PC (Atlanta, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Latoya Etheridge's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Latoya Etheridge accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Latoya Etheridge as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Latoya Etheridge affiliated with any hospitals?

According to CMS data, Latoya Etheridge is affiliated with Northside Hospital Cherokee, Wellstar Kennestone Regional Medical Center and Wellstar North Fulton Hospital.

When was this NPI record last updated?

The NPPES record for Latoya Etheridge was last updated on May 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.