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WILLIE E LANDRUM II MD PC
NPI 1780419614
Internal Medicine in Atlanta, GA

Active since September 02, 2024
705 JUNIPER ST NE, ATLANTA, GA 30308(678) 542-7256(404) 963-7620 Get Directions Write a Review

NPPES record last updated: February 26, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 26, 2025, Feb 21, 2025, Sep 2, 2024 (3 updates tracked since 2024).

About Willie E Landrum Ii Md Pc NPPES

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

WILLIE E LANDRUM II MD PC (NPI 1780419614) is a healthcare organization registered as an internal medicine in Atlanta, Georgia and active in the NPI registry since September 2024. The organization lists Katrina Gill, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1780419614
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameWILLIE E LANDRUM II MD PC
Location Address705 JUNIPER ST NEAtlanta, GA 30308-1307
Mailing Address4480 South Cobb Drive, Ste H Box 368Smyrna, GA 30080 · (678) 542-7256
Phone(678) 542-7256
Fax(404) 963-7620
Organization SubpartNo
Authorized OfficialKatrina GillOffice Manager · (678) 462-6101
Enumeration DateSeptember 2, 2024
Last NPPES UpdateFebruary 26, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2025
✔ NPI 1780419614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
705 JUNIPER ST NE, Atlanta, GA 30308
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Other Names 1

Other NameWillie E. Landrum Ii, Pc

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Willie E Landrum Ii Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Willie E Landrum II MD PC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Willie Landrum, MD
Internal Medicine
NPI 1760653612
SC HOUSE CALLS, INC. 111 DOCTORS CIR.
Columbia, SC 29203
(800) 491-0909
✔ PECOS✔ Accepts Medicare193 mi
Alexis Mitchell, APRN, FNP-C
Nurse Practitioner
NPI 1689271918
3800 S OCEAN DR STE 209
Hollywood, FL 33019
(305) 466-9988
✔ PECOS594 mi

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

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 Willie E Landrum II MD PC's NPI number?

The NPI number for Willie E Landrum II MD PC is 1780419614. It was assigned to this organization in the NPPES registry on September 2, 2024. The provider is also known as Willie E. Landrum II, PC.

Where is Willie E Landrum II MD PC located?

Willie E Landrum II MD PC is located at 705 Juniper St NE, Atlanta, GA 30308. The listed phone number is (678) 542-7256.

What is Willie E Landrum II MD PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Willie E Landrum II MD PC enrolled in Medicare?

Yes. Willie E Landrum II MD PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Willie E Landrum II MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Willie E Landrum II MD PC, in Internal Medicine and Nurse Practitioner. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Willie E Landrum II MD PC was last updated on February 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.