Erin Landry, PAC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

7022 Issued in GA

Practice address

176 Charles Hardy Pkwy Unit C
Hiram, GA 30141-1836

Phone

(678) 945-8200

Fax

(678) 945-8209

NPI assigned

Oct 17, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in GA

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

Physician Assistant

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.93 of 100Reported as apm

Quality

82.14

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: elandry140284@directwellstar.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.

• Wellstar Medical Group, LLC

  dba WellStar Family Medicine ACW

  • Family Medicine Physician
  • Kennesaw, GA
  • NPI 1558664003
  Medicare reassignment Care Compare group
• Wellstar Medical Group, LLC

  • Multi-Specialty Clinic/Center
  • Marietta, GA
  • NPI 1275992240
  NPD
• Wellstar Medical Group, LLC

  dba WellStar SafePath Childrens Advocacy Center

  • Child Abuse Pediatrics Physician
  • Marietta, GA
  • NPI 1356736250
  NPD

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

{
    "created_epoch": "1381968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1619305208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6325 SHANNON PKWY",
            "address_2": "STE D",
            "city": "UNION CITY",
            "state": "GA",
            "postal_code": "302911538",
            "telephone_number": "770-964-1400",
            "fax_number": "770-306-1343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 CHARLES HARDY PKWY UNIT C",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301411836",
            "telephone_number": "678-945-8200",
            "fax_number": "678-945-8209"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6325 Shannon Pkwy",
            "address_2": "Ste D",
            "address_purpose": "LOCATION",
            "city": "Union City",
            "state": "GA",
            "postal_code": "302911538",
            "country_code": "US",
            "telephone_number": "770-964-1400",
            "fax_number": "770-306-1343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANDRY",
        "first_name": "ERIN",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-17",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "7022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA LICENSE",
            "identifier": "7022",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "elandry140284@directwellstar.org",
            "affiliation": "N",
            "address_1": "176 Charles Hardy Pkwy Unit C",
            "city": "Hiram",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301411836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jessica Koalenz, NCC, APC
• Euiyoung Kwak, DMD
• Ladybug Lactation LLC.
• Catherine Landers, SPT
• Blake Anthony Landry, PA-C
• Christopher Laurenzi, D.C.
• Lydia Lauture, B.S
• Leche and Smiles
• Yong S. Lee, MD
• Legacy Counseling Centers

• Medical Physician Assistant in Hiram, GA
• Providers in Hiram, GA by specialty
• Medical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; 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.