Bobby G Landrum, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

RN109950 Issued in GA

Practice address

2122 Manchester Expressway
Columbus, GA 31904

Phone

(706) 320-2773

Fax

(706) 596-4226

NPI assigned

Jun 28, 2006

Last updated

Jul 30, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

University of South Alabama College of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

East Alabama Heart and Vascular, LLCGroup PAC ID 9638344708, 31 clinicians

Southland 806 Hospitalist PLLCGroup PAC ID 3779932611, 4 clinicians

The Health Care Authority of the City of EufaulaGroup PAC ID 9335407659, shared by 5 NPIs, 19 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Medical Center Barbour Hospital, Eufaula, AL, CCN 011307
• The East Alabama Healthcare Authority Hospital, Opelika, AL, CCN 010029

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: blandrum@yourcarecommunity.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• East Alabama Heart and Vascular, LLC

  dba Pinnacle Cardiovascular Associates

  • Specialist
  • Opelika, AL
  • NPI 1104193069
  Medicare reassignment Care Compare group NPD
• Southland 806 Hospitalist PLLC

  dba Medical Center of Barbour Hospitalist

  • Emergency Medicine Physician
  • Eufaula, AL
  • NPI 1033803424
  Medicare reassignment Care Compare group NPD
• Northern Alabama Physicians, LLP

  • Emergency Medicine Physician
  • Decatur, AL
  • NPI 1669618310
  Medicare reassignment NPD
• Southland Hospitalist at Ozark, PL

  • Emergency Medicine Physician
  • Ozark, AL
  • NPI 1750608949
  Medicare reassignment NPD
• Southland Medical Solutions of Eufaula, PL

  • Emergency Medicine Physician
  • Eufaula, AL
  • NPI 1205092723
  Medicare reassignment NPD
• Southland Medical Solutions of Ozark, PL

  • Emergency Medical Services (Emergency Medicine) Physician
  • Ozark, AL
  • NPI 1144545500
  Medicare reassignment NPD
• The Health Care Authority of the City of Eufaula

  dba Medical Center Barbour

  • Critical Access Hospital
  • Eufaula, AL
  • NPI 1730692641
  Medicare reassignment NPD
• The Health Care Authority of the City of Eufaula

  dba Medical Center Barbour Swing Bed

  • Medicare Defined Swing Bed Hospital Unit
  • Eufaula, AL
  • NPI 1801309711
  Medicare reassignment NPD
• The Health Care Authority of the City of Eufaula

  dba Medical Center Barbour Senior Care Center

  • Psychiatric Hospital Unit
  • Eufaula, AL
  • NPI 1548773450
  Medicare reassignment
• East Alabama Heart and Vascular, LLC

  dba Heart and Lung Surgeons of East Alabama

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Opelika, AL
  • NPI 1073120119
  NPD
• Northern Alabama Physicians, LLP

  • Hospitalist Physician
  • Enterprise, AL
  • NPI 1952845711
  NPD
• The Health Care Authority of the City of Eufaula

  dba Hurtsboro Family Clinic

  • Family Medicine Physician
  • Hurtsboro, AL
  • NPI 1154972883
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• The East Alabama Health Care Authority

  dba East Alabama Medical Center

  • General Acute Care Hospital
  • Opelika, AL
  • NPI 1154386431
  Care Compare affiliation
• The Health Care Authority of the City of Eufaula

  dba MCB Family Clinic

  • Rural Health Clinic/Center
  • Louisville, AL
  • NPI 1134632045

  Hospital

  Care Compare affiliation
• The Health Care Authority of the City of Eufaula

  dba Hurtsboro Family Clinic

  • Family Medicine Physician
  • Hurtsboro, AL
  • NPI 1154972883

  Hospital

  Care Compare affiliation
• The Health Care Authority of the City of Eufaula

  dba Medical Center Barbour

  • Critical Access Hospital
  • Eufaula, AL
  • NPI 1730692641
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438214400000",
    "number": "1285662486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8147",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319088147",
            "telephone_number": "706-320-2773",
            "fax_number": "706-596-4226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2122 MANCHESTER EXPRESSWAY",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "31904",
            "telephone_number": "706-320-2773",
            "fax_number": "706-596-4226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDRUM",
        "first_name": "BOBBY",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2015-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1066794",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AL",
            "license": "1066794",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "RN109950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003104894C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159805",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Martha Land, RBT
• Nicole Lee Land
• Oliver Allyn Landin
• Landings of Columbus LLC
• Landmark Counseling Services, LLC
• Lane Dermatologic Surgery Center, LLC
• Lane Dermatology & Dermatologic Surgery LLC
• Joshua Edward Lane, M.D.
• Tanda Nichole Lane, M.D.
• Tanisha Zakia Lane

• Adult Health Nurse Practitioner in Columbus, GA
• Providers in Columbus, GA by specialty
• Adult Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.