Individual provider Active NPI

Eric Landon, NP

  • Family Nurse Practitioner
  • Moss Point, MS
National Provider Identifier
1881643393
Registry record updated Jun 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R860220 Issued in MS
Practice address
3401 Main St
Moss Point, MS 39563-5101
Phone
(228) 762-7451
NPI assigned
May 10, 2006
Last updated
Jun 17, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1116211MedicaidLA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090224000566 AL Practitioner - Nurse Practitioner 9739145509 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1116211LAMDNurse Practitioner
R860220MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Remedy Behavioral Health, LLC Family CurrentSince Jan 1, 2024 Accepting new patients
Alabama Post-Acute Medical Service 1 PC CurrentSince May 1, 2017 Accepting new patients
Shoals NP Homecare, LLC Current Accepting new patients
CS Pacs 3 Southeast, LLC CurrentSince Aug 1, 2024 Accepting new patients
Inpatient Consultants of Alabama, Inc CurrentSince Jan 4, 2016 Accepting new patients
Nursing Home Physician Services, Inc. CurrentSince Jan 6, 2025 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.

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

Verify at the official NPI Registry.