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ALICIA M LANDRY MD
NPI 1639142003
Pediatrics in Douglasville, GA

Active since February 08, 2006PECOS Enrolled
6875 DOUGLAS BLVD, SUITE A, DOUGLASVILLE, GA 30135(404) 365-0966 Get Directions Write a Review

NPPES record last updated: January 7, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Alicia M Landry Md NPPES

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

ALICIA M LANDRY MD (NPI 1639142003) is an individual pediatrics provider in Douglasville, Georgia, licensed in Georgia (58060) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639142003
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameALICIA M LANDRYCredential: MD
Location Address6875 DOUGLAS BLVD, SUITE ADouglasville, GA 30135-7133
Mailing Address3495 Piedmont Rd Ne, Nine Piedmont CenterAtlanta, GA 30305-1717 · (404) 364-7070
Phone(404) 365-0966
Sole ProprietorNo
Enumeration DateFebruary 8, 2006
Last NPPES UpdateJanuary 7, 2022
✔ NPI 1639142003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in GA · 58060✔ Licensed in LA · 14917
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
6875 DOUGLAS BLVD, Douglasville, GA 30135
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alicia M Landry Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Alicia Landry reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Southeast Permanente Medical Group
24 mi
Internal Medicine
3495 PIEDMONT ROAD NE, NINE PIEDMONT CENTER
Atlanta, GA 30305
  • Reassigned Medicare billing, Georgia enrollment
  • 1,389 clinicians in this Medicare group
NPI 1245266956 (404) 364-3821

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30135 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
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
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 3

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

KAISER PERMANENTE
Clinical Medical Laboratory
6875 DOUGLAS BLVD
DOUGLASVILLE, GA 30135
Douglas County (678) 838-2225
KAISER FOUNDATION HEALTH PLAN OF GEORGIA, INC.
Pharmacy (Managed Care Organization Pharmacy)
6875 DOUGLAS BLVD
DOUGLASVILLE, GA 30135
Douglas County (678) 838-2226
DR. SHALEAK BROWN
Pediatrics
6875 DOUGLAS BLVD
DOUGLASVILLE, GA 30135
Douglas County (404) 365-0966

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 Alicia Landry's NPI number?

The NPI number for Alicia Landry is 1639142003. It was assigned to this individual provider in the NPPES registry on February 8, 2006.

Where is Alicia Landry located?

Alicia Landry practices at 6875 Douglas Blvd Suite A, Douglasville, GA 30135. The listed phone number is (404) 365-0966.

What is Alicia Landry's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Alicia Landry enrolled in Medicare?

Yes. Alicia Landry is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Alicia Landry's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alicia Landry reassigns Medicare benefits to The Southeast Permanente Medical Group (Atlanta, GA). The 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 Alicia Landry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Alicia Landry was last updated on January 7, 2022. 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.