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

Miles Landry, MD

Individual provider Surgery Physician · NPI 1093120958

Miles Landry, MD is a General Surgery in Knoxville, Tennessee. Qualified in 2013, 13 years ago. Practices with Martin Memorial Medical Center Inc, a 516-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
13
Licensed in
TN
In the registry since
2014
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1924 Alcoa Hwy # U-11
Knoxville, TN 37920-1511
Phone: (865) 305-9230
Fax: (865) 305-8894
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 59494 (TN)

Record details

NPI number1093120958
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 30, 2014
Last updated in NPPESApril 3, 2020
Certification dateApril 3, 2020
Mailing address1924 Alcoa Hwy # U-11, Knoxville, TN 37920-1511

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Martin Memorial Medical Center Inc — 516 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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