IndividualActive
Alicia Landry, PA-C
NPI 1245412576 · Surgical Physician Assistant · Johnson City, TN
Provider details
- NPI number
- 1245412576
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 1545 (TN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(93/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
410 N State of Franklin Rd Ste 130
Johnson City, TN 37604-6972
Phone: (423) 431-2477
Street-level locationGet directions
Mailing address
1021 W Oakland Ave Ste 310
Johnson City, TN 37604-2192
Additional practice locations (1)
- 1932 Alcoa HwySuite 270Knoxville, TN 37920-1527Phone: (865) 251-4658Fax: (865) 251-4659
Registry dates
- Enumerated
- 2007-11-28
- Last updated
- 2025-01-03
- Certified
- 2025-01-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.