JOHN HARRISON LANDRUM DO
NPI 1487400966
Student in an Organized Health Care Education/Training Program in Augusta, GA

Q: What is John Landrum's NPI number?

The NPI number for John Landrum is 1487400966. It was assigned to this individual provider in the NPPES registry on April 25, 2024.

Q: What is John Landrum's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for John Landrum was last updated on June 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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, 2024PECOS Enrolled

1120 15TH ST # BI5070, AUGUSTA, GA 30912(706) 721-2423 Get Directions Write a Review

NPPES record last updated: June 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 10, 2024, Apr 25, 2024 (2 updates tracked since 2024).

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About John Harrison Landrum Do NPPES

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

JOHN HARRISON LANDRUM DO (NPI 1487400966) is an individual student in an organized health care education/training program in Augusta, Georgia, licensed in Georgia (16489) and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487400966

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJOHN HARRISON LANDRUMCredential: DO

Location Address1120 15TH ST # BI5070Augusta, GA 30912-0004

Mailing Address4290 Sugar Creek LnCumming, GA 30041-2886

Phone(706) 721-2423

Sole ProprietorNo

Enumeration DateApril 25, 2024

Last NPPES UpdateJune 10, 20242 updates tracked since enumeration

NPPES CertifiedJune 10, 2024

✔ NPI 1487400966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in GA · 16489

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1120 15TH ST # BI5070, Augusta, GA 30912

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John Harrison Landrum Do 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 20

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

DR. MOHAMMAD UMAIR AZAM MD

Internal Medicine