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JACKLYN LANDRES PA-C
NPI 1619646999
Physician Assistant in Dunwoody, GA

Active since September 09, 2021PECOS EnrolledAccepts Medicare Assignment
4546 BARCLAY DR, DUNWOODY, GA 30338(770) 457-7994 Get Directions Write a Review

NPPES record last updated: September 9, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jacklyn Landres Pa-c NPPES

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

JACKLYN LANDRES PA-C (NPI 1619646999) is an individual physician assistant in Dunwoody, Georgia, licensed in Georgia (10563) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1619646999
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJACKLYN LANDRESCredential: PA-C
Location Address4546 BARCLAY DRDunwoody, GA 30338-7147
Mailing Address4546 Barclay DrDunwoody, GA 30338-7147 · (770) 457-7994
Phone(770) 457-7994
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 9, 2021
NPPES CertifiedSeptember 9, 2021
✔ NPI 1619646999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in GA · 10563✔ Licensed in NY · 027125
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.
4546 BARCLAY DR, Dunwoody, GA 30338
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Jacklyn Landres Pa-c 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 ID9133500366
PECOS Enrollment IDI20220805000946
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30338 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
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 2

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

WILLIAM REED CONN PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
4546 BARCLAY DR
DUNWOODY, GA 30338
Dekalb County (770) 457-7994
JOAN KAY LANNING PH.D.
Counselor (Professional)
4546 BARCLAY DR, SUITE D
ATLANTA, GA 30338
Dekalb County (770) 988-0308

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 Jacklyn Landres's NPI number?

The NPI number for Jacklyn Landres is 1619646999. It was assigned to this individual provider in the NPPES registry on September 9, 2021.

Where is Jacklyn Landres located?

Jacklyn Landres practices at 4546 Barclay Dr, Dunwoody, GA 30338. The listed phone number is (770) 457-7994.

What is Jacklyn Landres's specialty?

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

Is Jacklyn Landres enrolled in Medicare?

Yes. Jacklyn Landres 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 Jacklyn Landres accept?

Health plans from Providence Health Plan list Jacklyn Landres 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 Jacklyn Landres was last updated on September 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.