Willie E Landrum II MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

WILLIE E LANDRUM II MD PC

Practice address

705 Juniper St NE
Atlanta, GA 30308-1307

Phone

(678) 542-7256

Fax

(404) 963-7620

NPI assigned

Sep 2, 2024

Organization subpart

No

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

Authorized official

Name

Katrina Gill

Title

Office Manager

Phone

(678) 462-6101

Specialties & licenses 1

Addresses

Other names 1

• Willie E. Landrum II, PC Other name

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Willie E Landrum II, MD

  • Hospitalist Physician
  • Columbia, SC
  • NPI 1760653612

  GA

  Medicare reassignment NPD
• Alexis Lavantae Mitchell, APRN, FNP-C

  • Adult Medicine Physician
  • Hollywood, FL
  • NPI 1689271918

  GA

  Medicare reassignment NPD

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

{
    "created_epoch": "1725235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740528000000",
    "number": "1780419614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4480 SOUTH COBB DRIVE",
            "address_2": "STE H BOX 368",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "30080",
            "telephone_number": "678-542-7256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 JUNIPER ST NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303081307",
            "telephone_number": "678-542-7256",
            "fax_number": "404-963-7620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIE E LANDRUM II MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-02",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "678-462-6101"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willie E. Landrum II, PC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Willie E. Landrum II, PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kathryn Anne Williamson
• Kelly Dorris Williamson
• Margaret Williamson, M.D.
• Natasha Williamson, NP
• Timothy Patrick Williamson, PA
• Cerita Willie
• Kimberly Williford, MS RD NMD
• Samuel Clifton Willimon, MD
• Cameron Jamal Willingham, M.S., BCBA
• Cheryl Elizabeth Willingham, N.P.

• Internal Medicine Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.