Active NPI
Eric Landon, NP
- Family Nurse Practitioner
- Moss Point, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R860220
- Practice address
- 3401 Main St
Moss Point, MS 39563-5101 - Phone
- (228) 762-7451
- NPI assigned
- May 10, 2006
- Last updated
- Jun 17, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1116211 | LA | |
| Family Nurse Practitioner | 363LF0000X | R860220 | MS | Primary |
Addresses
Primary practice location
3401 Main St
Moss Point, MS 39563-5101
Mailing address
PO Box 6705
Gulfport, MS 39506-6705
Phone (228) 865-1330
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1116211 | Medicaid | LA |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1116211 | LA | MD | Nurse Practitioner |
| R860220 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Remedy Behavioral Health, LLC | Family | Current | Accepting new patients |
| Alabama Post-Acute Medical Service 1 PC | Current | Accepting new patients | |
| Shoals NP Homecare, LLC | Current | Accepting new patients | |
| CS Pacs 3 Southeast, LLC | Current | Accepting new patients | |
| Inpatient Consultants of Alabama, Inc | Current | Accepting new patients | |
| Nursing Home Physician Services, Inc. | Current | Accepting new patients |
Locations
1555 Hillabee St
Alexander City, AL 35010
Phone (256) 329-0847
1020 Tuscaloosa Ave SW
Birmingham, AL 35211
Phone (205) 253-2738
750 Morphy Ave
Fairhope, AL 36532
Phone (251) 928-2375
1609 Mockingbird Ct
Ste B
Florence, AL 35630
Phone (256) 320-7778
1 Southern Way
Ste A
Mobile, AL 36619
3717 Dauphin St
Mobile, AL 36608
Phone (251) 343-0909
5 Mobile Infirmary Cir
Mobile, AL 36607
Phone (251) 432-4415
735 S Washington Ave
Mobile, AL 36603
Phone (251) 433-2642
954 Navco Rd
Mobile, AL 36605
Phone (251) 473-8684
1720 Knowles Rd
Phenix City, AL 36869
Phone (334) 291-0485
1001 S Jackson Hwy
Sheffield, AL 35660
Phone (256) 320-7778
Organizations & group practices 6
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.
-
- Hospitalist Physician
- Phenix City, AL
- NPI 1073052403
-
- Internal Medicine Physician
- Mobile, AL
- NPI 1235238916
-
- Geriatric Medicine (Family Medicine) Physician
- Mobile, AL
- NPI 1619920741
-
dba Remedy Behavioral Health
- Psychiatry Physician
- Florence, AL
- NPI 1013517317
Family
-
- Home Health Agency
- Town Creek, AL
- NPI 1083178818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308268800000",
"number": "1881643393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6705",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395066705",
"telephone_number": "228-865-1330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 MAIN ST",
"city": "MOSS POINT",
"state": "MS",
"postal_code": "395635101",
"telephone_number": "228-762-7451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDON",
"first_name": "ERIC",
"name_prefix": "Dr.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-10",
"last_updated": "2011-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "LA",
"license": "1116211",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "R860220",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1116211",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Moss Point, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2011; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.