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EDWARD PAUL LANDRY JR.
NPI 1780078253
Pediatrics - Pediatric Emergency Medicine in Jackson, MS

Active since March 23, 2015PECOS EnrolledAccepts Medicare Assignment
2500 N STATE ST, JACKSON, MS 39216(601) 984-5200 Get Directions Write a Review

NPPES record last updated: June 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Edward Paul Landry Jr. NPPES

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

EDWARD PAUL LANDRY JR. (NPI 1780078253) is an individual pediatric emergency medicine provider in Jackson, Mississippi, licensed in Mississippi (25979) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1780078253
Entity TypeIndividualMale
Primary Taxonomy2080P0204X
Provider Legal NameEDWARD PAUL LANDRY JR.
Location Address2500 N STATE STJackson, MS 39216-4500
Mailing Address504 Clinton Center Drive, Cbo - Suite 4300Clinton, MS 39056-5610
Phone(601) 984-5200
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 23, 2015
Last NPPES UpdateJune 1, 2022
NPPES CertifiedMay 17, 2022
✔ NPI 1780078253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in MS · 25979
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
2500 N STATE ST, Jackson, MS 39216
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Other Identifiers 1

Medicaid02078311MS

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

Edward Paul Landry Jr. 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 ID5890001127
PECOS Enrollment IDI20230801001405
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.

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.

LAMAR DAVIS II M.D.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-5275
STEPHEN COMMISKEY M.D.
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-5900
JESSICA SAFLEY MD
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-5900
DR. MARY KINNEY LOWE CORLEY MD
Obstetrics & Gynecology
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-5339
LAURA ELIZABETH VEARRIER M.D.
Emergency Medicine
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 815-2005
DR. CANDICE BRITTANY APRIL DDS
Dentist
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-6028
DR. LARKIN H MITCHELL M.D.
Anesthesiology
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-5900
EMILY SUMRALL CHILDRESS CRNA
Nurse Anesthetist, Certified Registered
2500 N STATE ST
JACKSON, MS 39216
Hinds County (601) 984-1000

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 Edward Landry's NPI number?

The NPI number for Edward Landry is 1780078253. It was assigned to this individual provider in the NPPES registry on March 23, 2015.

Where is Edward Landry located?

Edward Landry practices at 2500 N State St, Jackson, MS 39216. The listed phone number is (601) 984-5200.

What is Edward Landry's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Edward Landry enrolled in Medicare?

Yes. Edward Landry 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.

When was this NPI record last updated?

The NPPES record for Edward Landry was last updated on June 1, 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.