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Active NPI 1134477524 Individual Practitioner Male Practitioner

Blake Anthony Landry , PA-C

Physician Assistant • Hiram, GA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Blake Landry, PA-C is a certified Physician Assistant practicing in Hiram, GA. With approximately 14 years of clinical experience since completing medical education in 2012, Blake Landry delivers high-quality medical care to the local community at 148 BILL CARRUTH PKWY STE 100.

Blake Landry is affiliated with Wellstar Medical Group Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, test for exercise-induced lung stress, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

148 Bill Carruth Pkwy Ste 100

Hiram, GA 301413756

Telephone 7704221372
Fax 6783635170
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Hiram, GA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
14 Yrs +0.1 yrs vs City Avg
City Avg: 13.9 Yrs
State Avg: 12.9 Yrs
Regional Practice Density
10 Specialists

Practicing in Hiram, GA (4726 Statewide)

Telehealth Adoption Rate
20.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
64.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Landry (14 Years) 14 Yrs
Hiram Specialty Average (13.9 Years) 13.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
383 300 $209.91 $77.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
80 73 $297.00 $110.43
94618 Test for exercise-induced lung stress
24 24 $88.17 $29.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
16 16 $275.06 $92.69

Medical Specialties & State Licenses

CMS Verified: 2026-05-11
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License GA 7061

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License AL TA1743

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Wellstar Medical Group Llc

400 Tower Rd Ne, Marietta, GA 300609412

Phone: 7704221372

Wellstar Medical Group Llc

5150 Stilesboro N W Rd, Kennesaw, GA 301527742

Phone: 7704248222

Wellstar Medical Group Llc

148 Bill Carruth Pkwy, Hiram, GA 301413756

Secondary Practice Locations

3719 Dauphin St

Mobile, AL 366081753

Phone: 2514357223

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Sarika Mishra , NP

Nurse Practitioner - Acute Care

NPI 1003445313

Nurse Practitioner

Dr. Safal Shetty , MD

Internal Medicine - Pulmonary Disease

NPI 1013192384

Doctor of Medicine (M.D.)

Dr. Asif Saberi , MD

Internal Medicine - Critical Care Medicine

NPI 1023067824

Doctor of Medicine (M.D.)

John Scarborough , ACNPC-AG

Nurse Practitioner - Critical Care Medicine

NPI 1023542925

ACNPCAG

Kamara Heard , ACNP

Nurse Practitioner - Acute Care

NPI 1033442454
Dr. Jeffrey Michaelson , MD

Internal Medicine - Pulmonary Disease

NPI 1063495521

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 11, 2026

Physician Assistant (License #7061 in GA)

📍
Updated Practice Location October 30, 2019

Registered at 148 BILL CARRUTH PKWY STE 100, HIRAM, GA 301413756 (Tel: 7704221372)

📍
Updated Business Mailing Address October 30, 2019

Registered at 148 BILL CARRUTH PKWY STE 100, HIRAM, GA 301413756 (Tel: 7704221372)

NPI Profile Active August 16, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location August 16, 2012

Registered at 3719 DAUPHIN ST, MOBILE, AL 366081753 (Tel: 2514357223)

📍
Updated Business Mailing Address August 16, 2012

Registered at 12125 WOODCREST EXECUTIVE DR, SUITE 220, SAINT LOUIS, MO 631415001 (Tel: 3143170600)

👤
Provider Name / Credentials Updated August 16, 2012

Recorded as BLAKE LANDRY, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 16, 2012

Physician Assistant (License #TA1743 in AL)

🟢
Initial NPI Registration & Enumeration August 16, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1134477524
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 16, 2012
Last Update: May 11, 2026
Sole Proprietor: No

Mailing Address

148 Bill Carruth Pkwy Ste 100

Hiram, GA 301413756

Phone: 7704221372

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.