P Praxis·MD
● Active Type 1 · Individual

DR. Latania K. Logan, M.D., MSPH

Pediatrics·Atlanta, GA· NPI 1558517144 · Enumerated 2008 · 17 years on NPI
Logan is 1 of 32 pediatrics providers in Atlanta and 1 of 42 in Georgia.
NPI age
17 years
Enumerated 2008-08-14
Primary specialty
Pediatrics
Plus 2 subspecialties
Licensed in
GA, IL
2 states
Status
Active
No deactivations on record
Last NPPES update
2022-06-29
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 42 active pediatrics providers in Georgia.

NPI age
17 years
≈ at median (18 yr)
State licenses
2 states
Top 76% — 23% of peers are multi-state
Subspecialties
1
In the 50% of peers with subspecialties

NPI lifetime · 2008 → 2026

2008-08Enumerated in NPPES
2008 2026

Where they practice

Practice location
1400 Tullie Rd Ne
Atlanta, GA 303292309
📞 4047855437
Mailing address
1725 W Harrison St, Ste 710
Chicago, IL 606123841
📞 3129426396fax 3129424168

Additional practice locations

1 secondary location on file with NPPES.

Location 2
1725 W Harrison St, Ste 710
Chicago, IL 606123841
📞 3129426396fax 3129424168

Specialties

  • Pediatrics Primary
    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,...
    GA license #92099IL license #036-113313 taxonomy 2080P0208X
  • Pediatrics
    A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
    IL license #036-113313 taxonomy 208000000X

Identifiers

TypeValueNotes
01 (IL) 036-113313 STATE LICENSE NUMBER
01 (IL) 336-074676 STATE LICENSE, CONTROLLED SUBSTANCE
01 (GA) 92099 STATE LICENSE NUMBER
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 39 other active providers share 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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