JOHN J LAND IV PC
NPI 1356500573
Podiatrist in Dalton, GA
About John J Land Iv Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN J LAND IV PC (NPI 1356500573) is a healthcare organization registered as a podiatrist in Dalton, Georgia and active in the NPI registry since June 2008. The organization lists John J Land, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 8
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
John J Land Iv Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to John J Land IV PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 John J Land IV PC's NPI number?
The NPI number for John J Land IV PC is 1356500573. It was assigned to this organization in the NPPES registry on June 3, 2008.
Where is John J Land IV PC located?
John J Land IV PC is located at 1107 Broadrick Dr, Dalton, GA 30720. The listed phone number is (706) 278-5558.
What is John J Land IV PC's specialty?
The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.
Is John J Land IV PC enrolled in Medicare?
Yes. John J Land IV PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through John J Land IV PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Podiatry, reassign their Medicare billing to John J Land IV PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does John J Land IV PC accept?
Health plans from Alliant Health Plans, Inc. list John J Land IV PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for John J Land IV PC was last updated on June 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# John J Land Iv Pc · NPI 1356500573
Podiatrist organization in Dalton, Georgia. Organization record, active in the CMS NPPES registry since June 3, 2008.
## Identity
- **NPI:** 1356500573 (Entity type: Organization)
- **Enumerated:** June 3, 2008
- **Primary specialty:** Podiatrist · taxonomy 213E00000X
- **Organization subpart:** No
- **Authorized official:** John Land, PRESIDENT
## Practice location
- **Address:** 1107 BROADRICK DR, Dalton, GA 30720-2592
- **Phone:** (706) 278-5558 · **Fax:** (706) 278-6334
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Podiatry) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 3, 2008
- **Other identifiers:** Medicaid 000828385A (GA); Other 1440694 (GA); Medicare PIN 48SCCBW (GA); and 5 more
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Source: [NPI Profile](https://npiprofile.com/npi/1356500573) · Data from the CMS NPPES public registry.