Individual provider Active NPI

Leigh Ann Castleberry, CRNA

  • Certified Registered Nurse Anesthetist
  • Gainesville, GA
National Provider Identifier
1891717930
Registry record updated Apr 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R140985 Issued in GA
Practice address
2324 Limestone Overlook
Gainesville, GA 30501-7443
Phone
(770) 536-8109
Fax
(678) 997-2141
NPI assigned
Jul 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X R140985 GA Primary

Addresses

Primary practice location

2324 Limestone Overlook
Gainesville, GA 30501-7443

Mailing address

PO Box 907790
Gainesville, GA 30501-0912
Phone (770) 536-8109

Other practice location 1

743 Spring St NE
Gainesville, GA 30501-3715
Phone (770) 532-7179 ext. 13

Other identifiers 3

IdentifierTypeStateIssuer
202I436677OtherGAMEDICARE
000819926CMedicaidGA
000819926DMedicaidGA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090603000651 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8628128139 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Lanier Anesthesia Associates LLCGroup PAC ID 4082061635, 7 clinicians

Practice addresses (Care Compare)

2324 Gainesville Overlook
Suite 200
Gainesville, GA 30501-7443
Phone (770) 536-8109

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
R140985GAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2020 Accepting new patients
Lake Lanier Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2023 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2020 Accepting new patients
North Fulton Anesthesia Associates PC Nurse Anesthetist, Certified Registered PastSince Aug 13, 2023 Accepting new patients
Ambulatory Anesthesia of North Georgia, LLC Past Accepting new patients
Gainesville Endoscopy Center, LLC Past Accepting new patients
Anesthesia Associates of Gainesville, LLC Past Accepting new patients

Locations

1515 River Pl
Ste 320
Braselton, GA 30517
Phone (678) 997-2125

2334 Sparta Way
Ste 200
Buford, GA 30519
Phone (678) 997-2140

2675 N Decatur Rd
Ste 506
Decatur, GA 30033
Phone (404) 299-1679

2324 Limestone Overlook
Gainesville, GA 30501
Phone 77053681092140

2324 Limestone Overlook
Ste 200
Gainesville, GA 30501
Phone (312) 724-7441

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554163200000",
    "number": "1891717930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 907790",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305010912",
            "telephone_number": "770-536-8109",
            "fax_number": "678-997-2141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2324 LIMESTONE OVERLOOK",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305017443",
            "telephone_number": "770-536-8109",
            "fax_number": "678-997-2141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "743 Spring St NE",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "GA",
            "postal_code": "305013715",
            "country_code": "US",
            "telephone_number": "770-532-7179 x13",
            "fax_number": "770-534-1312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTLEBERRY",
        "first_name": "LEIGH",
        "middle_name": "ANN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2019-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "R140985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "202I436677",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000819926C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000819926D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2019; 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.

Verify at the official NPI Registry.