Individual provider Active NPI

Kevin Lee Gatlin, CRNA

  • Certified Registered Nurse Anesthetist
  • Geismar, LA
National Provider Identifier
1083605372
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
96106 Issued in LA
Practice address
12393 Old Millstone Dr
Geismar, LA 70734-3238
Phone
(225) 673-1736
NPI assigned
Nov 4, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 96106 LA Primary

Addresses

Primary practice location

12393 Old Millstone Dr
Geismar, LA 70734-3238

Mailing address

12393 Old Millstone Dr
Geismar, LA 70734-3238
Phone (225) 673-1736

Other identifiers 1

IdentifierTypeStateIssuer
1467341MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050118000433 LA Practitioner - Certified Registered Nurse Anesthetist (Crna) 3971552811 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zephyr Anesthesia LLCGroup PAC ID 1658559125, 161 clinicians

Practice addresses (Care Compare)

7310 Perkins Rd
Baton Rouge, LA 70808-4325
Phone (225) 236-3100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
96106LAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesiology Affiliates, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 11, 2010 Accepting new patients
Zephyr Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince May 27, 2024 Accepting new patients
The Capital City Anesthesia Group, LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Surgical Anesthesia of Baton Rouge LLC Past Accepting new patients
Diversified Professionals, Inc. Past Accepting new patients

Locations

7310 Perkins Rd
Baton Rouge, LA 70808
Phone (225) 236-3100

9103 Jefferson Hwy
Baton Rouge, LA 70809
Phone (225) 927-1190

694 Belle Terre Blvd
La Place, LA 70068
Phone (985) 359-6694

2701 Napoleon Ave
New Orleans, LA 70115
Phone (504) 267-2805

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1083605372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12393 OLD MILLSTONE DR",
            "city": "GEISMAR",
            "state": "LA",
            "postal_code": "707343238",
            "telephone_number": "225-673-1736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12393 OLD MILLSTONE DR",
            "city": "GEISMAR",
            "state": "LA",
            "postal_code": "707343238",
            "telephone_number": "225-673-1736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATLIN",
        "first_name": "KEVIN",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-04",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "96106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467341",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Geismar, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.