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

Paul B Landry III, PAC

Individual provider Physician Assistant · NPI 1477599892

Paul B Landry III, PAC is a Physician Assistant in Johnson City, Tennessee. Qualified in 2002, 24 years ago. Practices with North Iowa Mercy Clinics, a 300-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
24
Licensed in
TN
In the registry since
2006
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

310 N State Of Franklin Rd Ste 101
Johnson City, TN 37604-6008
Phone: (423) 929-7393
Fax: (423) 929-0872
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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 1603 (TN)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 1603 (TN)

Record details

NPI number1477599892
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedJune 22, 2006
Last updated in NPPESFebruary 15, 2017

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice North Iowa Mercy Clinics — 300 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Johnson City