NPI age
18 years
Enumerated 2008-04-16
● Active
Type 1 · Individual
Jamie Shari Landreth, PA
Landreth is 1 of 25 physician assistant providers in Texarkana and 1 of 11022 in Texas.
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
TX, AR
2 states
Status
Active
No deactivations on record
Last NPPES update
2025-05-05
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 11022 active physician assistant providers in Texas.
NPI age
18 years
↑ 8 yr above median (10 yr)
State licenses
2 states
Top 92% — 7% of peers are multi-state
Subspecialties
0
23% of peers hold subspecialties
NPI lifetime · 2008 → 2026
2008-04Enumerated in NPPES
2008
2026
Where they practice
Practice location
2604 Saint Michael Dr Ste 425
Texarkana, TX 755032378
Mailing address
2900 Saint Michael Dr Ste 401
Texarkana, TX 755035211
Additional practice locations
3 secondary locations on file with NPPES.
Location 2
1 Childrens Way # 653
Little Rock, AR 722023500
Location 3
5002 Cowhorn Creek Rd Ste 3205
Texarkana, TX 755039766
Location 4
405 W 16th St
Hope, AR 718017104
Specialties
-
Physician Assistant PrimaryA 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 1F4890 | MEDICARE |
| 01 (TX) | P02599453 | RR MCR |
| 01 (TX) | PA06337 | STATE LICENSE |
| 05 (OK) | 200263770A | |
| 01 (AR) | PA-336 | LICENSE # |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.