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

Individual provider Family Nurse Practitioner · NPI 1982132171

Kawajalein Latic Whitaker, FNP is a Nurse Practitioner in Loganville, Georgia. Qualified in 2016, 10 years ago. Practices with Hospital Physician Services - Southeast Professional Corporation, a 824-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
10
Licensed in
GA
In the registry since
2017
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

101 Tara Commons Dr
Loganville, GA 30052-8018
Phone: (678) 928-9701
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN224425 (GA)

Record details

NPI number1982132171
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJune 1, 2017
Last updated in NPPESJune 1, 2017

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Hospital Physician Services - Southeast Professional Corporation — 824 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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