LACEY JACKSON LANDON AA
NPI 1174922314
Anesthesiologist Assistant in Tifton, GA

Active since August 13, 2014Accepts Medicare Assignment
78.41/100
CMS Quality Rating
901 18TH ST E, TIFTON, GA 31794(229) 382-7120 Get Directions Write a Review

NPPES record last updated: August 13, 2014. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Lacey Jackson Landon Aa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LACEY JACKSON LANDON AA (NPI 1174922314) is an individual anesthesiologist assistant in Tifton, Georgia and active in the NPI registry since August 2014. She is affiliated with Phoebe Putney Memorial Hospital and is a graduate of Emory University School Of Medicine (2014).

NPPES Registry Identity

NPI1174922314
Entity TypeIndividualFemale
Primary Taxonomy367H00000X
Provider Legal NameLACEY JACKSON LANDONCredential: AA
Location Address901 18TH ST ETifton, GA 31794-3648
Mailing Address907 18th St E, Suite 150Tifton, GA 31794-3643 · (229) 382-7120
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 2014
Enumeration DateAugust 13, 2014
NPI 1174922314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
901 18TH ST E, Tifton, GA 31794

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Lacey Jackson Landon Aa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072734656
PECOS Enrollment IDI20141023001889

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on urinary system through urethra 00910
Anesthesia for a procedure on the urinary system through the urethra involves using medicine to numb sensation in the area. This is done to ensure you feel no pain or discomfort during the procedure. The medicine can be given locally, regionally, or generally, depending on the specifics of your procedure.
13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Phoebe Putney Memorial Hospital

Acute Care Hospitals · Albany, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110007
Location417 Third AvenueAlbany, GA 31703 · Dougherty County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

78.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.68
Promoting Interoperability100
Improvement Activities40
Cost66.15

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
901 18TH ST E
TIFTON, GA 31794
Nurse Practitioner (Acute Care)
901 18TH ST E
TIFTON, GA 31794
Student in an Organized Health Care Education/Training Program
901 18TH ST E
TIFTON, GA 31794
Internal Medicine (Pulmonary Disease)
901 18TH ST E
TIFTON, GA 31794
Physical Therapist
901 18TH ST E
TIFTON, GA 31794
Internal Medicine
901 18TH ST E
TIFTON, GA 31794
Nurse Anesthetist, Certified Registered
901 18TH ST E
TIFTON, GA 31794
Nurse Practitioner (Family)
901 18TH ST E
TIFTON, GA 31794

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lacey Landon's NPI number?

The NPI number for Lacey Landon is 1174922314. It was assigned to this individual provider in the NPPES registry on August 13, 2014.

Where is Lacey Landon located?

Lacey Landon practices at 901 18th St E, Tifton, GA 31794. The listed phone number is (229) 382-7120.

What is Lacey Landon's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Lacey Landon enrolled in Medicare?

Yes. Lacey Landon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Lacey Landon affiliated with any hospitals?

According to CMS data, Lacey Landon is affiliated with Phoebe Putney Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Lacey Landon was last updated on August 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.