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

Mrs. Latoya Gordon Niles, PAC

Individual provider Physician Assistant · NPI 1093882532

Mrs. Latoya Gordon Niles, PAC is a Physician Assistant in Durham, North Carolina. Qualified in 2005, 21 years ago. Practices with Ch Mssp Services Tn PLLC, a 43-clinician group and accepts Medicare assignment. Licensed in North Carolina and Tennessee.

Years since qualifying
21
Licensed in
NC, TN
In the registry since
2006
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

2511 Old Cornwallis Rd Ste 200
Durham, NC 27713-1869
Phone: (919) 932-5700
Fax: (919) 933-6881
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 3667 (TN)
Physician Assistant Taxonomy 363A00000X · Licence 0010-06340 (NC)

Record details

NPI number1093882532
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedNovember 29, 2006
Last updated in NPPESJuly 12, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Ch Mssp Services Tn Pllc — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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