P Praxis·MD
● Active Type 1 · Individual

Latisha Graham

Nurse Practitioner·Loganville, GA· NPI 1780052555 · Enumerated 2015 · 10 years on NPI
Graham is 1 of 3 nurse practitioner providers in Loganville and 1 of 806 in Georgia.
NPI age
10 years
Enumerated 2015-09-09
Primary specialty
Nurse Practitioner
Plus 2 subspecialties
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2026-03-26
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 806 active nurse practitioner providers in Georgia.

NPI age
10 years
≈ at median (11 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
2
In the 31% of peers with subspecialties

NPI lifetime · 2015 → 2026

2015-09Enumerated in NPPES
2015 2026

Where they practice

Practice location
2701 Honey Locust Ct
Loganville, GA 300526024
📞 7706943094
Mailing address
2701 Honey Locust Ct
Loganville, GA 300526024
📞 7706943094

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    GA license #RN212577 taxonomy 363LA2200X
  • Family Medicine
    The NUCC recommends this code not be used. Choose a more appropriate code.
    GA license #A0615004 taxonomy 207QA0505X
  • Nurse Practitioner
    Definition to come...
    GA license #RN212577 taxonomy 363LP0808X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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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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