PAUL B LANDRY III PAC
NPI 1477599892
Physician Assistant in Johnson City, TN

Active since June 22, 2006PECOS EnrolledAccepts Medicare Assignment
310 N STATE OF FRANKLIN RD, SUITE 101, JOHNSON CITY, TN 37604(423) 929-7393(423) 929-0872 Get Directions Write a Review

NPPES record last updated: February 15, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Paul B Landry Iii Pac NPPES

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

PAUL B LANDRY III PAC (NPI 1477599892) is an individual physician assistant in Johnson City, Tennessee, licensed in Tennessee (1603) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Mercyone North Iowa Medical Center, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1477599892
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NamePAUL B LANDRY IIICredential: PAC
Location Address310 N STATE OF FRANKLIN RD, SUITE 101Johnson City, TN 37604-6008
Mailing Address310 N State Of Franklin Rd, Suite 101Johnson City, TN 37604-6008 · (423) 929-7393 · Fax (423) 929-0872
Fax(423) 929-0872
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJune 22, 2006
Last NPPES UpdateFebruary 15, 2017
NPI 1477599892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in TN · 1603
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 1603 (TN)
310 N STATE OF FRANKLIN RD, Johnson City, TN 37604

Other Identifiers 7

Medicaid7100095460KY
Medicare PIN3665254TN
OtherTN01 UWTN · John Deere
OtherP00686005TN · Railroad Medicare
Medicaid1477599892VA
Other4190518TN · Bc/bs
Medicaid1506078TN

Accepted Insurance

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

Paul B Landry Iii Pac 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 ID5799751319
PECOS Enrollment IDI20080730000700, I20240525000088
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.

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
26 services25 patients

Hospital Affiliations CMS Care Compare 5

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

Mercyone North Iowa Medical Center

Acute Care Hospitals · Mason City, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160064
Location1000 Fourth Street SWMason City, IA 50401 · Cerro Gordo County
Emergency services Birthing friendly

Wellmont Holston Valley Medical Center

Acute Care Hospitals · Kingsport, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440017
Location130 West Ravine RoadKingsport, TN 37662 · Sullivan County
Emergency services

Greeneville Community Hospital

Acute Care Hospitals · Greeneville, TN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440050
Location1420 Tusculum BoulevardGreeneville, TN 37745 · Greene County
Emergency services Birthing friendly

Johnson City Medical Center

Acute Care Hospitals · Johnson City, TN
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440063
Location400 N State Of Franklin RdJohnson City, TN 37604 · Washington County
Emergency services Birthing friendly

Franklin Woods Community Hospital

Acute Care Hospitals · Johnson City, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440184
Location300 Med Tech ParkwayJohnson City, TN 37604 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37604 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Internal Medicine
310 N STATE OF FRANKLIN RD, STE 301A
JOHNSON CITY, TN 37604
Physician Assistant
310 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Surgery (Vascular Surgery)
310 N STATE OF FRANKLIN RD, SUITE 101B
JOHNSON CITY, TN 37604
Surgery (Vascular Surgery)
310 N STATE OF FRANKLIN RD, STE 101
JOHNSON CITY, TN 37604
Clinic/Center (Ambulatory Surgical)
310 N STATE OF FRANKLIN RD, SUITE 202
JOHNSON CITY, TN 37604
Thoracic Surgery (Cardiothoracic Vascular Surgery)
310 N STATE OF FRANKLIN RD, SUITE 101
JOHNSON CITY, TN 37604
Internal Medicine (Gastroenterology)
310 N STATE OF FRANKLIN RD, SUITE 202
JOHNSON CITY, TN 37604
Internal Medicine (Medical Oncology)
310 N STATE OF FRANKLIN RD, SUITE 401
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 Paul Landry's NPI number?

The NPI number for Paul Landry is 1477599892. It was assigned to this individual provider in the NPPES registry on June 22, 2006.

Where is Paul Landry located?

Paul Landry practices at 310 N State Of Franklin Rd Suite 101, Johnson City, TN 37604. The listed phone number is (423) 929-7393.

What is Paul Landry's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Paul Landry enrolled in Medicare?

Yes. Paul 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.

What insurance does Paul Landry accept?

Health plans from BlueCross BlueShield of Tennessee, Medica, Oscar Insurance Company and UnitedHealthcare list Paul Landry 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.

Is Paul Landry affiliated with any hospitals?

According to CMS data, Paul Landry is affiliated with Mercyone North Iowa Medical Center, Wellmont Holston Valley Medical Center, Greeneville Community Hospital, Johnson City Medical Center and Franklin Woods Community Hospital.

When was this NPI record last updated?

The NPPES record for Paul Landry was last updated on February 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.