NPI Lens

Alicia B. Landry, PA-C

NPI 1245412576ActiveIndividual· Physician Assistant, Surgical· Johnson City, TN

Physician Assistant, Surgical (PA-C) with Blue Ridge Medical Management Corporation, practicing in Johnson City, Tennessee. Part D covered 67 prescriptions written in 2024, 100% of them generic. Lists Johnson City Medical Center as a hospital affiliation.

Overview

NPI1245412576
StatusActive
Entity typeIndividual
CredentialPA-C
Sole proprietorNo
NPI issuedNov 28, 2007
Last updated in NPPESJan 3, 2025
Certified by providerJan 3, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant, Surgical Primary363AS0400X1545TN
Physician Assistant363A00000X1545TN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (TN)

Part D prescriptions in 2024

Prescriptions (claims)67 · 69 30-day fills
Patients32
Total drug cost$952.02
Generic share100% of claims

Medicare sources and data years

Education and affiliations

Graduation year2007
Medicare specialtyPhysician Assistant

Medical group

Hospital affiliation

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Physician Assistant, Surgical providers in Johnson City

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