Active NPI
Kaleb Andrew Burgess, CRNA
- Certified Registered Nurse Anesthetist
- Phenix City, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1-149764
- Practice address
- 4401 Riverchase Dr
Phenix City, AL 36867-7483 - Phone
- (334) 732-3000
- NPI assigned
- Jun 8, 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 1-149764 | AL | Primary |
Addresses
Primary practice location
4401 Riverchase Dr
Phenix City, AL 36867-7483
Mailing address
6225 N State Highway 161 Ste 200
Irving, TX 75038-2241
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, GA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200613000115 | AL | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 2668894049 | Reassigns benefits to 2 organizations |
| I20220228001769 | GA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 2668894049 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Anesthesia Associates of East Alabama LLCHospitalist Medicine Physicians of Georgia - TCS, PC
Practice addresses (Care Compare)
2000 Pepperell Pkwy
Opelika, AL 36801-5452
Phone (334) 749-3411
710 Ctr St
Columbus, GA 31901-1527
Phone (706) 571-1000
Hospital & facility affiliations
- The East Alabama Healthcare Authority
- Piedmont Columbus Regional Midtown
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Medicine Physicians of Georgia - TCS, PC | Current | Accepting new patients | |
| Amsol Anesthetists of Georgia LLC-Hughston Surgical Center | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Amsol Anesthetists of Georgia, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Associates of East Alabama LLC | Current | Accepting new patients | |
| Sentry Anesthesia Management, LLC | Current | Accepting new patients |
Locations
2000 Pepperell Pkwy
Opelika, AL 36801
Phone (334) 364-3300
4401 Riverchase Dr
Phenix City, AL 36867
Phone (334) 732-3000
13500 Powers Ct
Ste 230
Fort Myers, FL 33912
Phone (239) 610-0784
126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011
100 Frist Ct
Columbus, GA 31909
Phone (706) 494-2100
6262 Veterans Pkwy
Unit B
Columbus, GA 31909
Phone (706) 494-3434
710 Center St
Columbus, GA 31901
Phone (706) 571-1000
6225 State Highway 161
Ste 200
Irving, TX 75038
Phone (214) 687-0496
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 and National Provider Directory roles.
-
- Anesthesiology Physician
- Columbus, GA
- NPI 1033926191
GA
-
- Certified Registered Nurse Anesthetist
- Columbus, GA
- NPI 1649224775
AL, GA, Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Columbus, GA
- NPI 1164708400
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Opelika, AL
- NPI 1154386431
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709251200000",
"number": "1770107583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6225 N STATE HIGHWAY 161 STE 200",
"city": "IRVING",
"state": "TX",
"postal_code": "750382241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4401 RIVERCHASE DR",
"city": "PHENIX CITY",
"state": "AL",
"postal_code": "368677483",
"telephone_number": "334-732-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURGESS",
"first_name": "KALEB",
"middle_name": "ANDREW",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-08",
"last_updated": "2024-03-01",
"certification_date": "2024-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AL",
"license": "1-149764",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phenix City, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; 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.