Organization Active NPI

Kleiman LLC

  • Urgent Care Clinic/Center
  • Powder Springs, GA
National Provider Identifier
1417627712
Registry record updated Sep 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
KLEIMAN LLC
Practice address
713 First Cotton Dr
Powder Springs, GA 30127-6227
Phone
(678) 234-9308
NPI assigned
Sep 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2021

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

Authorized official

Name
Dr. Richard Kleiman, MDNPI 1396841755
Title
Chairman
Phone
(678) 234-9308

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

713 First Cotton Dr
Powder Springs, GA 30127-6227

Mailing address

713 First Cotton Dr
Powder Springs, GA 30127-6227
Phone (678) 234-9308

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211013003394 GA Part B Supplier - Clinic/Group Practice 8527466093 Receives reassigned benefits from 6 practitioners
Practice locations: Powder Springs, GA

National Provider Directory

National Provider Directory

Locations

660 Whitlock Ave NW
Marietta, GA 30064
Phone (770) 514-1414

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1631836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632441600000",
    "number": "1417627712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 FIRST COTTON DR",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301276227",
            "telephone_number": "678-234-9308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 FIRST COTTON DR",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301276227",
            "telephone_number": "678-234-9308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLEIMAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-17",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-24",
        "status": "A",
        "authorized_official_last_name": "KLEIMAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "678-234-9308",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Powder Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.