ALICIA B LANDRY PA-C
NPI 1245412576
Physician Assistant - Surgical in Johnson City, TN
About Alicia B Landry Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALICIA B LANDRY PA-C (NPI 1245412576) is an individual surgical provider in Johnson City, Tennessee, licensed in Tennessee (1545) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS, is affiliated with Johnson City Medical Center, and is a graduate of Other (2007).
NPPES Registry Identity
Specialties & Licenses 2
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
Alicia B Landry Pa-c 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Johnson City Medical Center
Acute Care Hospitals · Johnson City, TNOther Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JOHNSON CITY, TN 37604
JOHNSON CITY, TN 37604
JOHNSON CITY, TN 37604
JOHNSON CITY, TN 37604
JOHNSON CITY, TN 37604
JOHNSON CITY, TN 37604
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 Alicia Landry's NPI number?
The NPI number for Alicia Landry is 1245412576. It was assigned to this individual provider in the NPPES registry on November 28, 2007.
Where is Alicia Landry located?
Alicia Landry practices at 410 N State Of Franklin Rd Ste 130, Johnson City, TN 37604. The listed phone number is (423) 431-2477.
What is Alicia Landry's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Alicia Landry enrolled in Medicare?
Yes. Alicia Landry 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 Alicia Landry affiliated with any hospitals?
According to CMS data, Alicia Landry is affiliated with Johnson City Medical Center.
When was this NPI record last updated?
The NPPES record for Alicia Landry was last updated on January 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.
# Alicia B Landry, PA-C · NPI 1245412576
Surgical physician in Johnson City, Tennessee. Individual provider, active in the CMS NPPES registry since November 28, 2007.
## Identity
- **NPI:** 1245412576 (Entity type: Individual)
- **Enumerated:** November 28, 2007
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** 1545 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 410 N STATE OF FRANKLIN RD STE 130, Johnson City, TN 37604-6972
- **Phone:** (423) 431-2477
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** January 3, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1245412576) · Data from the CMS NPPES public registry.