Caleb Eric Ackermann, MD
Individual provider Active NPI Surgical Critical Care Physician · Lawrenceville, GA
NPI 1972130102 · NPPES record last updated Aug 30, 2026
Key facts
- NPI
- 1972130102
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgical Critical Care Physician 2086S0102X
- License
- 114657 (GA)
- Practice address
- 631 Professional Dr Ste 360
Lawrenceville, GA 30046-3370 - Phone
- (678) 312-2733
- NPI assigned
- Mar 26, 2020
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NV, VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200810003450 | NV | Order and Referring Only - General Surgery |
5799100525 | |
| I20250809000015 | VA | Order and Referring Only - General Surgery |
5799100525 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Critical Care Physician | 2086S0102X | 114657 | GA | Yes |
Addresses
Primary practice location
631 Professional Dr Ste 360
Lawrenceville, GA 30046-3370
Mailing address
631 Professional Dr Ste 360
Lawrenceville, GA 30046-3370
Phone (678) 312-2733
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All providers in Lawrenceville, GA · Surgical Critical Care Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.