P Praxis·MD
● Active Type 1 · Individual

Angela S Latham, PA-C

Physician Assistant·Brunswick, GA· NPI 1043225634 · Enumerated 2006 · 19 years on NPI
Latham is 1 of 7 physician assistant providers in Brunswick and 1 of 1333 in Georgia.
NPI age
19 years
Enumerated 2006-07-30
Primary specialty
Physician Assistant
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2011-02-11
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1333 active physician assistant providers in Georgia.

NPI age
19 years
↑ 4 yr above median (15 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
21% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-07Enumerated in NPPES
2006 2026

Where they practice

Practice location
2705 Wildwood Dr
Brunswick, GA 315204346
📞 9122646133fax 9122671415
Mailing address
2705 Wildwood Dr
Brunswick, GA 315204346
📞 9122646133fax 9122671415

Specialties

  • Physician Assistant Primary
    Definition to come...
    GA license #004297 taxonomy 363AM0700X

Identifiers

TypeValueNotes
05 (GA) 084105015A

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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