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DR. LANDON MANCE DO
NPI 1508619974
Student in an Organized Health Care Education/Training Program in Kingsport, TN

Active since April 08, 2024PECOS Enrolled
102 E RAVINE RD, KINGSPORT, TN 37660(423) 245-9600(423) 245-9634 Get Directions Write a Review

NPPES record last updated: April 8, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Landon Mance Do NPPES

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

DR. LANDON MANCE DO (NPI 1508619974) is an individual student in an organized health care education/training program in Kingsport, Tennessee and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508619974
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. LANDON MANCECredential: DO
Location Address102 E RAVINE RDKingsport, TN 37660-3814
Mailing Address102 E Ravine RdKingsport, TN 37660-3814 · (423) 245-9600
Phone(423) 245-9600
Fax(423) 245-9634
Sole ProprietorNo
Enumeration DateApril 8, 2024
NPPES CertifiedApril 7, 2024
✔ NPI 1508619974 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
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.
102 E RAVINE RD, Kingsport, TN 37660
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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)

Dr. Landon Mance 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.

ABRAHAM LESNIEWSKI MD
Student in an Organized Health Care Education/Training Program
102 E RAVINE RD
KINGSPORT, TN 37660
Sullivan County (423) 245-9600
DR. ISSA ASFOUR MD
Student in an Organized Health Care Education/Training Program
102 E RAVINE RD
KINGSPORT, TN 37660
Sullivan County (423) 245-9600
KAYLA MARIE DAHLEY D.O.
Student in an Organized Health Care Education/Training Program
102 E RAVINE RD
KINGSPORT, TN 37660
Sullivan County (423) 245-9600
KATELYN MOATS FRALEY DO
Student in an Organized Health Care Education/Training Program
102 E RAVINE RD
KINGSPORT, TN 37660
Sullivan County (423) 245-9600
BETH ANNE FOX M.D.
Family Medicine
102 E RAVINE RD
KINGSPORT, TN 37660
Sullivan County (423) 245-9600
CRAIG WASSINGER PT
Physical Therapist
102 E RAVINE RD
KINGSPORT, TN 37660
Sullivan County (423) 245-9600
GREGORY J COOPER
Family Medicine
102 E RAVINE RD
KINGSPORT, TN 37660
Sullivan County (423) 245-9600
DR. PETER B PLATZER M.D.
Family Medicine
102 E RAVINE RD
KINGSPORT, TN 37660
Sullivan County (423) 245-9600

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 Landon Mance's NPI number?

The NPI number for Landon Mance is 1508619974. It was assigned to this individual provider in the NPPES registry on April 8, 2024.

Where is Landon Mance located?

Landon Mance practices at 102 E Ravine Rd, Kingsport, TN 37660. The listed phone number is (423) 245-9600.

What is Landon Mance's specialty?

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

Is Landon Mance enrolled in Medicare?

Yes. Landon Mance is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Landon Mance was last updated on April 8, 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.