Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alicia B Landry, PA-C

Individual provider Surgical Physician Assistant · NPI 1245412576

Alicia B Landry, PA-C is a Physician Assistant in Johnson City, Tennessee. Qualified in 2007, 19 years ago. Practices with Blue Ridge Medical Management Corporation, a 286-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
19
Licensed in
TN
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

410 N State Of Franklin Rd Ste 130
Johnson City, TN 37604-6972
Phone: (423) 431-2477
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1932 Alcoa Hwy, Knoxville, TN 37920-1527 — (865) 251-4658

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 1545 (TN)
Physician Assistant Taxonomy 363A00000X · Licence 1545 (TN)

Record details

NPI number1245412576
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 28, 2007
Last updated in NPPESJanuary 3, 2025
Certification dateJanuary 3, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Blue Ridge Medical Management Corporation — 286 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Johnson City