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JENNIFER LANDRY
NPI 1639809254
Pediatrics in Blue Bell, PA

Active since June 15, 2022PECOS Enrolled
1600 UNION MEETING RD APT 324, BLUE BELL, PA 19422(706) 718-7073 Get Directions Write a Review

NPPES record last updated: September 12, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 12, 2025, Jun 5, 2025 (2 updates tracked since 2025).

About Jennifer Landry NPPES

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

JENNIFER LANDRY (NPI 1639809254) is an individual pediatrics provider in Blue Bell, Pennsylvania, licensed in Georgia (105512) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Macon, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1639809254
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameJENNIFER LANDRY
Location Address1600 UNION MEETING RD APT 324Blue Bell, PA 19422-2096
Mailing Address777 Hemlock StMacon, GA 31201-2102 · (478) 633-7140 · Fax (478) 633-5142
Phone(706) 718-7073
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 15, 2022
Last NPPES UpdateSeptember 12, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2025
✔ NPI 1639809254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in GA · 105512
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.
1600 UNION MEETING RD APT 324, Blue Bell, PA 19422
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Secondary Practice Location 1

Location 1777 Hemlock StMacon, GA 31201-2102 · Phone (478) 633-7140 · Fax (478) 633-5142

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Landry is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9032607742
PECOS Enrollment IDI20251023004468
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 Jennifer Landry reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Health Services Of Central Georgia, Inc
685 mi
Multi-Specialty
777 HEMLOCK ST
Macon, GA 31201
  • Reassigned Medicare billing, Georgia enrollment
  • 483 clinicians in this Medicare group
NPI 1184679482 (478) 633-6713

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 19422 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

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 Jennifer Landry's NPI number?

The NPI number for Jennifer Landry is 1639809254. It was assigned to this individual provider in the NPPES registry on June 15, 2022.

Where is Jennifer Landry located?

Jennifer Landry practices at 1600 Union Meeting Rd Apt 324, Blue Bell, PA 19422. The listed phone number is (706) 718-7073.

What is Jennifer Landry's specialty?

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

Is Jennifer Landry enrolled in Medicare?

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

Which organization bills Medicare for Jennifer Landry's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Landry reassigns Medicare benefits to Health Services Of Central Georgia, Inc (Macon, 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 Jennifer 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 Jennifer Landry was last updated on September 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.