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

Latera D Terry

Individual provider Physician Assistant · NPI 1407193014

Latera D Terry is a Physician Assistant in Lawrenceville, Georgia. Qualified in 2017, 9 years ago. Practices with Primary Care PLLC, a 19-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
9
Licensed in
GA
In the registry since
2013

Practice location Address checks out

5710 Sugarloaf Pkwy
Lawrenceville, GA 30043-7834
Phone: (770) 237-2222
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 8448 (GA)

Record details

NPI number1407193014
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 16, 2013
Last updated in NPPESJuly 1, 2025
Certification dateJuly 1, 2025
Mailing address5710 Sugarloaf Pkwy, Lawrenceville, GA 30043-7834

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Primary Care Pllc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Lawrenceville