Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Latiah Smith McWilliams, FNP-C

Individual provider Nurse Practitioner · NPI 1215615943

Latiah Smith McWilliams, FNP-C is a Nurse Practitioner in Jackson, Mississippi. Qualified in 2022, 4 years ago. Practices with Quad Intermed Company LLC, a 42-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
4
Licensed in
MS
In the registry since
2023
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

5005 Old Canton Rd
Jackson, MS 39211-5421
Phone: (601) 957-3333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 905960 (MS)

Record details

NPI number1215615943
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedJuly 11, 2023
Last updated in NPPESJuly 11, 2023
Certification dateJuly 11, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Quad Intermed Company Llc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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