Latifah Quanah Jeter, FNP-C in Concord, NC

Latifah Quanah Jeter, FNP-C is a medicare enrolled "Family Medicine" physician in Concord, North Carolina. Her current practice location is 200 Medical Park Dr Ste 550, Concord, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 403-1036.

Latifah Quanah Jeter is licensed to practice in North Carolina (license number JETE-I10SC) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1184381659.

Contact Information

	Latifah Quanah Jeter, FNP-C
	200 Medical Park Dr Ste 550, Concord, NC 28025-0947
	(704) 403-1036
	Not Available

Map and Direction

Physician's Profile

Full Name	Latifah Quanah Jeter
Gender	Female
Speciality	Family Medicine
Location	200 Medical Park Dr Ste 550, Concord, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184381659
Provider Enumeration Date: 11/19/2021
Last Update Date: 09/30/2025

Medicare PECOS Information:

PECOS PAC ID: 3870977960
Enrollment ID: I20220909000235

Medical Identifiers

Medical identifiers for Latifah Quanah Jeter such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184381659	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	JETE-I10SC (North Carolina)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Latifah Quanah Jeter allows following entities to bill medicare on her behalf.

Entity Name	Vitae Health Medical North Carolina Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265064414 PECOS PAC ID: 7719317932 Enrollment ID: O20200430000531

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Latifah Quanah Jeter is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Latifah Quanah Jeter, FNP-C 3069 Light Ridge Ct Sw, Concord, NC 28027-8989 Ph: (704) 930-3145	Latifah Quanah Jeter, FNP-C 200 Medical Park Dr Ste 550, Concord, NC 28025-0947 Ph: (704) 403-1036

Reviews and Comments

Family Medicine Doctors in Concord, NC

Bridget Chinelo Nduka, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 7752 Gateway Ln Nw Ste 100, Concord, NC 28027 Phone: 704-316-4950 Fax: 704-316-4951
Brent Halsch, Family Medicine Medicare: Medicare Enrolled Practice Location: 6150 Bayfield Pkwy, Concord, NC 28027 Phone: 704-262-6081
Rebecca Delaney, Family Medicine Medicare: Medicare Enrolled Practice Location: 5641 Poplar Tent Rd, Suite 101, Concord, NC 28027 Phone: 704-782-1955
Paul Brezicki, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1090 Ne Gateway Ct Ne, Ste 202, Concord, NC 28025 Phone: 704-403-9050
Sheryl Maria Savita De Sa, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5325 Vinning St Nw Ste 101, Concord, NC 28027 Phone: 704-316-1040 Fax: 704-316-1041
David C. Tignor, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5641 Poplar Tent Rd, Ste 101, Concord, NC 28027 Phone: 704-782-1955
Mark Reiff, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 431 Copperfield Blvd Ne, Ste 100, Concord, NC 28025 Phone: 704-403-9300

Latifah Quanah Jeter, FNP-C - Medicare Family Medicine in Concord, NC