Active NPI
Kalum Leiba, CAA
- Anesthesiologist Assistant
- Canton, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- Practice address
- 450 Northside Cherokee Blvd
Canton, GA 30115-8015 - Phone
- (770) 224-1000
- NPI assigned
- Aug 20, 2020
- Last updated
- Aug 20, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | GA | Primary |
Addresses
Primary practice location
450 Northside Cherokee Blvd
Canton, GA 30115-8015
Mailing address
4708 Ardmore LN
Hoschton, GA 30548-6227
Phone (404) 563-2645
Other practice location 1
1000 Johnson Fy Rd NE
Atlanta, GA 30342-1606
Phone (404) 851-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology Assistant
- Education
- Emory University School of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Johnson Ferry Rd
Atlanta, GA 30342-1606
Phone (404) 851-8000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Atlanta Anesthesia Professionals, LLC | Current | Accepting new patients |
Locations
450 Northside Cherokee Blvd
Canton, GA 30115
Phone (770) 224-1000
1200 Northside Forsyth Dr
Cumming, GA 30041
Phone (770) 292-4806
1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356
1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737
1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Atlanta, GA
- NPI 1982349296
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Northside Hospital Cherokee
- General Acute Care Hospital
- Canton, GA
- NPI 1225050396
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597881600000",
"number": "1336751494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4708 ARDMORE LN",
"city": "HOSCHTON",
"state": "GA",
"postal_code": "305486227",
"telephone_number": "404-563-2645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 NORTHSIDE CHEROKEE BLVD",
"city": "CANTON",
"state": "GA",
"postal_code": "301158015",
"telephone_number": "770-224-1000"
}
],
"practiceLocations": [
{
"address_1": "1000 Johnson Fy Rd NE",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303421606",
"country_code": "US",
"telephone_number": "404-851-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEIBA",
"first_name": "KALUM",
"credential": "CAA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-20",
"last_updated": "2020-08-20",
"certification_date": "2020-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; 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.