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

Active since March 23, 2015PECOS Enrolled
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: October 18, 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.

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
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
Open in Google Maps ↗

Other Identifiers 1

Medicaid02078311MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edward Paul Landry Jr. 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 Reassignments

3

Medicare enrollment records show Edward Landry reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

State Of Mississippi - University Of Mississippi Medical Center
Same address
General Acute Care Hospital
2500 N STATE ST
Jackson, MS 39216
  • Reassigned Medicare billing, Mississippi enrollment
  • 1,932 clinicians in this Medicare group
NPI 1154317527 (601) 984-1000
Emergency Medical Associates Of Tampa Bay, LLC
549 mi
Emergency Medicine
3001 W. DR. MARTIN LUTHER KING JR. BLVD
Tampa, FL 33607
  • Reassigned Medicare billing, Florida enrollment
  • 161 clinicians in this Medicare group
NPI 1023397817 (813) 870-4000
Observation Medical Group LLC
549 mi
Emergency Medicine
3001 W DR MARTIN LUTHER KING JR BLVD
Tampa, FL 33607
  • Reassigned Medicare billing, Florida enrollment
  • 158 clinicians in this Medicare group
NPI 1952763682 (813) 870-4000

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

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 enrollment system.

Which organizations bill Medicare for Edward Landry's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edward Landry reassigns Medicare benefits to 3 organizations: State Of Mississippi - University Of Mississippi Medical Center (Jackson, MS), Emergency Medical Associates Of Tampa Bay, LLC (Tampa, FL) and Observation Medical Group LLC (Tampa, FL). Each 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 Edward Landry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Edward Landry accept?

Health plans from Cigna HealthCare of Florida, Inc. and Cigna Healthcare list Edward Landry 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 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.