Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacklyn Landres, PA-C

Individual provider Physician Assistant · NPI 1619646999

Jacklyn Landres, PA-C is a Physician Assistant in Dunwoody, Georgia. Qualified in 2021, 5 years ago. Practices with Aldad Medical PC, a 80-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia and New York.

Years since qualifying
5
Licensed in
GA, NY
In the registry since
2021
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4546 Barclay Dr
Dunwoody, GA 30338-7147
Phone: (770) 457-7994
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10563 (GA)
Physician Assistant Taxonomy 363A00000X · Licence 027125 (NY)

Record details

NPI number1619646999
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedSeptember 9, 2021
Last updated in NPPESSeptember 9, 2021
Certification dateSeptember 9, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Aldad Medical Pc — 80 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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