Active NPI
Scott G. Kleiman, M.D.
- Orthopaedic Surgery Physician
- Austell, GA
National Provider Identifier
1407843824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 014383
- Practice address
- 2041 Mesa Valley Way
Suite 100
Austell, GA 30106-8157 - Phone
- (770) 944-1100
- Fax
- (770) 944-6469
- NPI assigned
- Sep 30, 2005
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 014383 | GA | Primary |
Addresses
Primary practice location
2041 Mesa Valley Way
Suite 100
Austell, GA 30106-8157
Mailing address
2041 Mesa Valley Way
Suite 100
Austell, GA 30106-8157
Phone (770) 944-1100
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000064193G | Medicaid | GA | |
| 000064193D | Medicaid | GA | |
| 000064193E | Medicaid | GA | |
| 000064193H | Medicaid | GA | |
| 000064193F | Medicaid | GA | |
| 000064193B | Medicaid | GA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014383 | GA | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390348800000",
"number": "1407843824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2041 MESA VALLEY WAY",
"address_2": "SUITE 100",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301068157",
"telephone_number": "770-944-1100",
"fax_number": "770-944-6469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2041 MESA VALLEY WAY",
"address_2": "SUITE 100",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301068157",
"telephone_number": "770-944-1100",
"fax_number": "770-944-6469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEIMAN",
"first_name": "SCOTT",
"middle_name": "G.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-30",
"last_updated": "2014-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "GA",
"license": "014383",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000064193G",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000064193D",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000064193E",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000064193H",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000064193F",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000064193B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Austell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.