PEDRO ANTONIO LANDAVERDE PA-C
NPI 1679318265
Physician Assistant in Atlanta, GA

Q: What is Pedro Landaverde's NPI number?

The NPI number for Pedro Landaverde is 1679318265. It was assigned to this individual provider in the NPPES registry on June 26, 2024.

Q: What is Pedro Landaverde's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Pedro Landaverde was last updated on June 26, 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.

Active since June 26, 2024PECOS EnrolledAccepts Medicare Assignment

1364 CLIFTON RD NE, ATLANTA, GA 30322(404) 712-2000 Get Directions Write a Review

NPPES record last updated: June 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Pedro Antonio Landaverde Pa-c NPPES

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

PEDRO ANTONIO LANDAVERDE PA-C (NPI 1679318265) is an individual physician assistant in Atlanta, Georgia and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and is a graduate of Mercer University School Of Medicine (2024).

NPPES Registry Identity

NPI1679318265

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NamePEDRO ANTONIO LANDAVERDECredential: PA-C

Location Address1364 CLIFTON RD NEAtlanta, GA 30322-1059

Mailing Address2037 Weems Rd Apt 10102Tucker, GA 30084-5276 · (706) 618-4116

Phone(404) 712-2000

Sole ProprietorNo

Medical School CMSMercer University School Of MedicineGraduated 2024

Enumeration DateJune 26, 2024

NPPES CertifiedJune 26, 2024

✔ NPI 1679318265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

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.

1364 CLIFTON RD NE, Atlanta, GA 30322

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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 and accepts Medicare assignment

Pedro Antonio Landaverde 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 ID5698209344

PECOS Enrollment IDI20241118001161

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Emory University Hospital

Acute Care Hospitals · Atlanta, GA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110010

Location1364 Clifton Road, NEAtlanta, GA 30322 · De Kalb County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30322 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 20

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

GREGORY WESTON

Student in an Organized Health Care Education/Training Program