Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Lata Parvathaneni, MD

Individual provider Family Medicine Physician · NPI 1629396585

Dr. Lata Parvathaneni, MD is a Family Practice in Woodstock, Georgia. Qualified in 2008, 18 years ago. Practices with Northside Primary Care Professional Services, LLC, a 311-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
18
Licensed in
GA
In the registry since
2010
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

900 Towne Lake Pkwy Ste 410
Woodstock, GA 30189-1604
Phone: (678) 445-0819
Fax: (678) 445-0927
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 500 Lincoln Park Blvd Ste 220, Kettering, OH 45429-6404 — (937) 294-4487

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 78192 (GA)

Record details

NPI number1629396585
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 17, 2010
Last updated in NPPESApril 26, 2021
Certification dateApril 26, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Northside Primary Care Professional Services,Llc — 311 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Woodstock