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

Mr. Micaiah Landrum

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1336967736

Mr. Micaiah Landrum is a General Surgery in Fredericksburg, Virginia. Qualified in 2024, 2 years ago. Practices with Mary Washington Healthcare Providers LLC, a 261-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
2
Licensed in
VA
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

1101 Sam Perry Blvd Ste 400
Fredericksburg, VA 22401-4466
Phone: (540) 741-2871
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 81 Birmingham Cir, Manquin, VA 23106-3415 — (804) 572-1760

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110010722 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1336967736
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 3, 2024
Last updated in NPPESMay 16, 2025
Certification dateMay 16, 2025

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Mary Washington Healthcare Providers Llc — 261 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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