MRS. KELLY CELESTE LANDRY (PA-C) – Physician Assistant, NPI 1154368389
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,430 PHYSICIAN ASSISTANT in GA
Provider Addresses for MRS. KELLY CELESTE LANDRY (PA-C)
DEPT AT952639
ATLANTA, GA 311922639
Phone: (225) 765-7163
Type: Mailing
11705 Mercy Blvd
Savannah, GA 314191711
Phone: (912) 232-9700
Fax: (912) 748-0270
Type: Location
103 E General Stewart Way Ste B
Hinesville, GA 313132607
Phone: (912) 232-9700
Fax: (912) 748-0270
Type: Location
5356 Reynolds St Ste 201
Savannah, GA 314056019
Phone: (912) 232-9700
Fax: (912) 748-0270
Type: Location
800 E 68th St
Savannah, GA 314054710
Phone: (912) 232-9700
Fax: (912) 748-0270
Type: Location
6510 Seawright Dr
Savannah, GA 314062752
Phone: (912) 232-9700
Fax: (912) 748-0270
Type: Location
5501 ABERCORN STREET
STE D BOX 104
SAVANNAH, GA 31405
Phone: (912) 232-9700
Fax: (912) 748-0270
Type: Mailing
5353 REYNOLDS ST
SAVANNAH, GA 314056015
Phone: (912) 232-9700
Fax: (912) 748-0270
Type: Location
Our Lady of the Lake Regional Medical Center, 7777, Hennessy Boulevard, Health & Medical Area, Silverside, Baton Rouge, East Baton Rouge Parish, Louisiana, 70808, United States
EMERGENCY DEPT, STE #211
BATON ROUGE, LA 708084300
Phone: (225) 765-7163
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $133.
Total Amount is formed as General ($133) + Research ($0) + Ownership ($0) = $133.
Last reported payment date: 2024-04-16 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($133).
Total Amount
$133
General + Research + Ownership
Payments
1
Total payment records
General Amount
$133
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novartis Pharmaceuticals Corporation | $133 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-05-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230509000090 | I | Physician Assistant | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 76 | 68 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 26 | 26 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 18 | 16 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 13 | 13 | $0 |
| 69209 | Removal of impacted ear wax by washing | 11 | 11 | $0 |
Insurance plans in this area (ZIP 31192)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Physician Assistant | GA | |
| Emergency Medicine | GA | |
| - | TX | |
| - | GA | |
| Physician Assistant | GA |
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