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

Lacey Jackson Landon, AA

Individual provider Anesthesiologist Assistant · NPI 1174922314

Lacey Jackson Landon, AA is an Anesthesiology Assistant in Tifton, Georgia. Graduated from Emory University School of Medicine in 2014, 12 years ago. Practices with Phoebe Physician Group Inc, a 432-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
12
Trained at
Emory University School of Medicine
Licensed in
GA
In the registry since
2014

Practice location Address checks out

901 18th St E
Tifton, GA 31794-3648
Phone: (229) 382-7120
Show map & directions

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

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X (GA)

Record details

NPI number1174922314
Entity typeIndividual (Type 1)
GenderFemale
Credentials AA
Sole proprietorNo
NPI enumeratedAugust 13, 2014
Last updated in NPPESAugust 13, 2014

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolEMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Phoebe Physician Group Inc — 432 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Tifton