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

Ryan M Landis, MD

Individual provider Surgery Physician · NPI 1144665845

Ryan M Landis, MD is a General Surgery in Johnson City, Tennessee. Qualified in 2013, 13 years ago. Practices with Blue Ridge Medical Management Corporation, a 286-clinician group and accepts Medicare assignment. Licensed in Connecticut and Tennessee.

Years since qualifying
13
Licensed in
CT, TN
In the registry since
2013
Specialties on file
2
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

410 N State Of Franklin Rd Ste 130
Johnson City, TN 37604-6972
Phone: (423) 431-2477
Fax: (423) 431-2478
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Critical Care Physician (primary) Taxonomy 2086S0102X · Licence 61132 (TN)
Surgery Physician Taxonomy 208600000X · Licence 60114 (CT)

Record details

NPI number1144665845
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 8, 2013
Last updated in NPPESMarch 15, 2022
Certification dateMarch 15, 2022
Mailing address509 Med Tech Pkwy Ste 100, Johnson City, TN 37604-2579

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 Blue Ridge Medical Management Corporation — 286 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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