John J Land Iv (NPI# 1568548220, PAC ID# 2860496908) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1568548220 |
| PAC ID by PECOS | 2860496908 |
| Professional Enrollment ID | I20080603000642 |
| Full Name | John J Land Iv |
| Address |
1107 Broadrick Dr Dalton GA 30720-2592 |
| Gender | M |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1986 |
| Primary Specialty | PODIATRY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110001 | HAMILTON MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1107 Broadrick Dr, Dalton, GA 30720-2592 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 100% | |
| MIPS_EC_126_overall | Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation | 100% | |
| MIPS_EC_127_overall | Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention - Evaluation of Footwear | 100% |
| Street Address |
1107 BROADRICK DR |
| City | DALTON |
| State | GA |
| Zip | 30720-2592 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven C Knox | Chiropractic | Family Chiropractic Center, Inc. | 310 N Thorton Ave, Dalton, GA 30720 |
| Benjamin R Read | Chiropractic | Family Chiropractic Center, Inc. | 310 N Thorton Ave, Dalton, GA 30720 |
| William B Ramsey | Chiropractic | Family Chiropractic Center, Inc. | 310 N Thorton Ave, Dalton, GA 30720 |
| Robin L Roe | Nurse Practitioner | Wal-mart Stores East Lp | 518 Shugart Rd, Dalton, GA 30720-2444 |
| Season N Flores | Clinical Social Worker | Highland Rivers Community Service Board | 900 Shugart Rd, Suite A, Dalton, GA 30720-2467 |
| Allison A Bond | Physician Assistant | Williams Plastic and Reconstructive Surgery, PC | 1506 Professional Court, Dalton, GA 30720-2500 |
| Ido Friedman | Podiatry | Village Podiatry Group, LLC. | 1505 Professional Ct, Dalton, GA 30720-2500 |
| Joel A Williams Iii | Plastic and Reconstructive Surgery | Williams Plastic and Reconstructive Surgery, PC | 1506 Professional Court, Dalton, GA 30720-2500 |
| Lindsay Bright | Nurse Practitioner | Williams Plastic and Reconstructive Surgery, PC | 1506 Professional Court, Dalton, GA 30720-2500 |
| Kimberly Bailey | Nurse Practitioner | Hamilton Physician Group, Inc | 1212 Broadrick Dr, Dalton, GA 30720-2503 |
| Find all physicians in zip 30720 | |||
| City | DALTON |
| Zip Code | 30720 |
| Specialty | PODIATRY |
| City + Specialty | DALTON + PODIATRY |
Please comment or provide details below to improve the information on John J Land Iv.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.