DR. KERRY LEE LANDRY M.D.
NPI 1396910857
Psychiatry & Neurology - Child & Adolescent Psychiatry in Durham, NC
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 has opted out of Medicare through August 30, 2026 and remains eligible to order and refer and maintains 4 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 4
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Kerry Lee Landry M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 30, 2018 through August 30, 2026.
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.
DURHAM, NC 27707
DURHAM, NC 27707
DURHAM, NC 27707
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 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.
Where is Kerry Landry located?
Kerry Landry practices at 3616 Shannon Rd Ste 200, Durham, NC 27707. The listed phone number is (919) 551-5502.
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.
Is Kerry Landry enrolled in Medicare?
No. Kerry Landry has opted out of Medicare through August 30, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
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.
# Dr. Kerry Lee Landry, M.D. · NPI 1396910857
Child & Adolescent Psychiatry physician in Durham, North Carolina. Individual provider, active in the CMS NPPES registry since April 25, 2008.
## Identity
- **NPI:** 1396910857 (Entity type: Individual)
- **Enumerated:** April 25, 2008
- **Primary specialty:** Psychiatry & Neurology - Child & Adolescent Psychiatry · taxonomy 2084P0804X
- **State license:** 117309 (North Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3616 SHANNON RD STE 200, Durham, NC 27707
- **Phone:** (919) 551-5502
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through August 30, 2026); services are provided under private contract
## Record status
- **NPPES last updated:** February 26, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1396910857) · Data from the CMS NPPES public registry.