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NICHOLAS LANDRY D.O. INC.
NPI 1508967910
Family Medicine in Gallipolis, OH

Active since September 26, 2006CLIA 36D1100149 · Waiver
1354 JACKSON PIKE, GALLIPOLIS, OH 45631(740) 441-9800(740) 441-9400 Get Directions Write a Review

NPPES record last updated: May 21, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 21, 2020, Jun 7, 2019 (2 updates tracked since 2019).

About Nicholas Landry D.o. Inc. NPPES

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

NICHOLAS LANDRY D.O. INC. (NPI 1508967910) is a healthcare organization registered as a family medicine in Gallipolis, Ohio and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through May 31, 2027, maintains a secondary practice location in Ironton, and lists Nicholas V Landry, Ceo, as its authorized official.

NPPES Registry Identity

NPI1508967910
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNICHOLAS LANDRY D.O. INC.
Location Address1354 JACKSON PIKEGallipolis, OH 45631-2601
Mailing Address1325 Northup RdGallipolis, OH 45631-8830 · (740) 441-9800 · Fax (740) 441-9400
Phone(740) 441-9800
Fax(740) 441-9400
Organization SubpartNo
Authorized OfficialNicholas V LandryCeo · (740) 441-9800
Enumeration DateSeptember 26, 2006
Last NPPES UpdateMay 21, 20202 updates tracked since enumeration
✔ NPI 1508967910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1354 JACKSON PIKE, Gallipolis, OH 45631
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Secondary Practice Location 1

Location 1407 S 3rd StIronton, OH 45638-1730 · Phone (740) 534-1200 · Fax (740) 534-1202

Other Identifiers 3

Other000000303053OH · Anthem
Medicaid2144067OH
Medicaid5630097000WV

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicholas Landry D.o. Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Nicholas Landry D.O. Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Nicholas Landry, D.O.
Family Practice
NPI 1992781538
1354 JACKSON PIKE
Gallipolis, OH 45631
(740) 441-9800
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D1100149

Nicholas V Landry Do Inc Dba Gallia Family Practice · Gallipolis, OH
Active · expires May 31, 2027
CLIA Number36D1100149
Laboratory TypePhysician Office
Certificate Effective DateJune 1, 2025
Certificate Expiration DateMay 31, 2027
Laboratory DirectorNicholas Landry
Laboratory Phone(740) 441-9800
Laboratory LocationNicholas V Landry Do Inc Dba Gallia Family Practice1354 Jackson Pike, Gallipolis, OH 45631
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Nicholas Landry D.O. Inc.'s NPI number?

The NPI number for Nicholas Landry D.O. Inc. is 1508967910. It was assigned to this organization in the NPPES registry on September 26, 2006.

Where is Nicholas Landry D.O. Inc. located?

Nicholas Landry D.O. Inc. is located at 1354 Jackson Pike, Gallipolis, OH 45631. The listed phone number is (740) 441-9800.

What is Nicholas Landry D.O. Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nicholas Landry D.O. Inc. enrolled in Medicare?

Yes. Nicholas Landry D.O. Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Nicholas Landry D.O. Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Nicholas Landry D.O. Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Nicholas Landry D.O. Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D1100149) is associated with this NPI, valid through May 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Nicholas Landry D.O. Inc. accept?

Health plans from CareSource and Molina Healthcare list Nicholas Landry D.O. Inc. 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.

When was this NPI record last updated?

The NPPES record for Nicholas Landry D.O. Inc. was last updated on May 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.