DR. KERRY LEE LANDRY M.D.
NPI 1396910857
Psychiatry & Neurology - Child & Adolescent Psychiatry in Durham, NC

Q: What is Kerry Landry's NPI number?

The NPI number for Kerry Landry is 1396910857. It was assigned to this individual provider in the NPPES registry on April 25, 2008.

Q: What is Kerry Landry's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Q: When was this NPI record last updated?

The NPPES record for Kerry Landry was last updated on February 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since April 25, 2008PECOS Enrolled

3616 SHANNON RD STE 200, DURHAM, NC 27707(919) 551-5502 Get Directions Write a Review

NPPES record last updated: February 26, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Feb 26, 2019, Dec 7, 2018, Mar 17, 2018 and 2 more (5 updates tracked since 2016).

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About Dr. Kerry Lee Landry M.d. NPPES

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

DR. KERRY LEE LANDRY M.D. (NPI 1396910857) is an individual child & adolescent psychiatry provider in Durham, North Carolina, licensed in North Carolina (117309) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1396910857

Entity TypeIndividualFemale

Primary Taxonomy2084P0804X

Provider Legal NameDR. KERRY LEE LANDRYCredential: M.D.

Location Address3616 SHANNON RD STE 200Durham, NC 27707

Mailing Address3616 Shannon Rd Ste 200Durham, NC 27707-3532 · (919) 551-5502

Phone(919) 551-5502

Sole ProprietorYes

Enumeration DateApril 25, 2008

Last NPPES UpdateFebruary 26, 20195 updates tracked since enumeration

✔ NPI 1396910857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

License✔ Licensed in NC · 117309

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

3616 SHANNON RD STE 200, Durham, NC 27707

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Secondary Practice Locations 4

Location 1615 Douglas St, Suite 500Durham, NC 27705-6616 · Phone (919) 908-9730

Location 2811 9th St Ste 205Durham, NC 27705-4192 · Phone (984) 365-6229

Location 33200 Pickett RdDurham, NC 27705-6010 · Phone (919) 551-5502 · Fax (919) 551-5499

Location 45726 Fayetteville Rd Ste 101Durham, NC 27713-6296 · Phone (919) 551-5502

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kerry Lee Landry M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 8

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

DR. DANIEL POGASH MD

Psychiatry & Neurology (Psychiatry)