Latrina S Walden, FNP-C in Lilburn, GA - Medicare Nurse Practitioner

Latrina S Walden, FNP-C is a medicare enrolled "Nurse Practitioner - Primary Care" in Lilburn, Georgia. She graduated from nursing school in 2018 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Peachtree Immediate Care Fp, Llc and her current practice location is 4045 Five Forks Trickum Rd Sw Ste 130, Lilburn, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 860-2425.

Latrina S Walden is licensed to practice in Georgia (license number 214211) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1750861217.

Contact Information

	Latrina S Walden, FNP-C
	4045 Five Forks Trickum Rd Sw Ste 130, Lilburn, GA 30047-2538
	(404) 860-2425
	(678) 737-1726

Map and Direction

Provider's Profile

Full Name	Latrina S Walden
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	4045 Five Forks Trickum Rd Sw Ste 130, Lilburn, Georgia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Latrina S Walden graduated from nursing school in 2018

NPI Data:

NPI Number: 1750861217
Provider Enumeration Date: 08/15/2018
Last Update Date: 10/29/2025

Medicare PECOS Information:

PECOS PAC ID: 2062572761
Enrollment ID: I20240715003240

Medical Identifiers

Medical identifiers for Latrina S Walden such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750861217	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	214211 (Georgia)	Primary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	214211 (Georgia)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Peachtree Immediate Care Fp, Llc	3274559323	273

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. Latrina S Walden allows following entities to bill medicare on her behalf.

Entity Name	Peachtree Immediate Care Fp, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437194156 PECOS PAC ID: 3274559323 Enrollment ID: O20051019000049

Entity Name	Be The Light Chiropractic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477043123 PECOS PAC ID: 9739616723 Enrollment ID: O20250103000710

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. Latrina S Walden 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
Latrina S Walden, FNP-C 887 Ryan Ln Sw, Lilburn, GA 30047-6642 Ph: () -	Latrina S Walden, FNP-C 4045 Five Forks Trickum Rd Sw Ste 130, Lilburn, GA 30047-2538 Ph: (404) 860-2425

Reviews and Comments

Nurse Practitioner Nurses in Lilburn, GA

Todd Bender, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5032 Green Oak Dr Sw, Lilburn, GA 30047 Phone: 678-978-2584
Anne Florence Bakinde, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2772 Cliffview Dr Sw, Lilburn, GA 30047 Phone: 770-870-7051
Ms. Esther Djangmaakwor Narhmartey-darku, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 160 Emily Dr Sw, Lilburn, GA 30047 Phone: 404-513-1511
Omoyeme Aliceson Ehizuelen, APRN, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 680 Hillcrest Rd Nw Ste 400, Lilburn, GA 30047 Phone: 404-566-8045 Fax: 404-999-6787
Srutte Panta, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3151 Royal Creek Way Sw, Lilburn, GA 30047 Phone: 404-345-4420
Sana Ali, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4120 Five Forks Trickum Rd Sw, Lilburn, GA 30047 Phone: 770-255-3491
Karen L Jimenez, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 950 Indian Trail Lilburn Rd Nw Ste 5d, Lilburn, GA 30047 Phone: 470-545-2131

Latrina S Walden, FNP-C - Medicare Nurse Practitioner in Lilburn, GA