Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alicia B Landry, PA-C

Individual provider Surgical Physician Assistant · NPI 1245412576

Alicia B Landry, PA-C is a Physician Assistant in Johnson City, Tennessee. Qualified in 2007, 19 years ago. Practices with Blue Ridge Medical Management Corporation, a 286-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
19
Licensed in
TN
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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

Additional practice locations (1)

  • 1932 Alcoa Hwy, Knoxville, TN 37920-1527 — (865) 251-4658

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 1545 (TN)
Physician Assistant Taxonomy 363A00000X · Licence 1545 (TN)

Record details

NPI number1245412576
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 28, 2007
Last updated in NPPESJanuary 3, 2025
Certification dateJanuary 3, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Blue Ridge Medical Management Corporation — 286 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Blue Ridge Medical Management Corporation

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 286 clinicians in the practice; 12 are shown here.

Other providers in Johnson City