Individual provider Active NPI

Gilbert South Klemann, M.D.

  • Specialist
  • Albany, GA
National Provider Identifier
1346221595
Registry record updated Dec 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
013058 Issued in GA
Practice address
1001 N Monroe St
Albany, GA 31701-1903
Phone
(229) 436-7248
Fax
(229) 431-1951
NPI assigned
Nov 7, 2005
Last updated
Dec 18, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 013058 GA Primary

Addresses

Primary practice location

1001 N Monroe St
Albany, GA 31701-1903

Mailing address

535 Regent Rd
Augusta, GA 30909-3114
Phone (706) 737-1963

Other identifiers 1

IdentifierTypeStateIssuer
00089812AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
013058GAMDPediatric Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418860800000",
    "number": "1346221595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 REGENT RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309093114",
            "telephone_number": "706-737-1963",
            "fax_number": "229-431-1951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 N MONROE ST",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011903",
            "telephone_number": "229-436-7248",
            "fax_number": "229-431-1951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEMANN",
        "first_name": "GILBERT",
        "middle_name": "SOUTH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2014-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "013058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00089812A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.