KLEIMAN LLC
NPI 1417627712
Clinic/Center - Urgent Care in Powder Springs, GA

Active since September 17, 2021CLIA 11D2236638 · Waiver
713 FIRST COTTON DR, POWDER SPRINGS, GA 30127(678) 234-9308 Get Directions Write a Review

NPPES record last updated: September 24, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 24, 2021, Sep 17, 2021 (2 updates tracked since 2021).

About Kleiman Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KLEIMAN LLC (NPI 1417627712) is a healthcare organization registered as an urgent care in Powder Springs, Georgia and active in the NPI registry since September 2021. The organization holds a CLIA Waiver certificate valid through September 19, 2027 and lists Richard Kleiman, Chairman, as its authorized official.

NPPES Registry Identity

NPI1417627712
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameKLEIMAN LLC
Location Address713 FIRST COTTON DRPowder Springs, GA 30127-6227
Mailing Address713 First Cotton DrPowder Springs, GA 30127-6227 · (678) 234-9308
Organization SubpartNo
Authorized OfficialRichard KleimanChairman · (678) 234-9308
Enumeration DateSeptember 17, 2021
Last NPPES UpdateSeptember 24, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2021
✔ NPI 1417627712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
713 FIRST COTTON DR, Powder Springs, GA 30127

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kleiman Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateGeorgiaEnrollment IDO20211013003394Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Kleiman LLC, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Nurse Practitioner
NPI 1790258531
2910 BURNT HICKORY RD NW
Marietta, GA 30064
(770) 841-9114
✔ PECOS✔ Accepts Medicare4.6 mi
Nurse Practitioner
NPI 1235500273
2518 JIMMY LEE SMITH PKWY
Hiram, GA 30141
(470) 644-7000
✔ PECOS6.1 mi
Nurse Practitioner
NPI 1265989636
2518 JIMMY LEE SMITH PKWY
Hiram, GA 30141
(770) 874-5400
✔ PECOS6.1 mi
Nurse Practitioner
NPI 1740753003
2782 N COBB PKWY
Kennesaw, GA 30152
(770) 420-1092
✔ PECOS✔ Accepts Medicare6.3 mi
Emergency Medicine
NPI 1396841755
PALMETTO HEALTH RICHLAND MEMORIAL HOSPITAL SUITE 350 MEDICAL PARK 3
Columbia, SC 29203
(803) 434-3790
✔ PECOS✔ Accepts Medicare212 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2236638

Kleiman, LLC · Marietta, GA
Active · expires Sep 19, 2027
CLIA Number11D2236638
Laboratory TypePhysician Office
Certificate Effective DateSeptember 20, 2025
Certificate Expiration DateSeptember 19, 2027
Laboratory DirectorRichard Kleiman
Laboratory Phone(678) 234-9308
Laboratory LocationKleiman, LLC660 Whitlock Avenue, Suite G-3, Marietta, GA 30064
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kleiman LLC's NPI number?

The NPI number for Kleiman LLC is 1417627712. It was assigned to this organization in the NPPES registry on September 17, 2021.

Where is Kleiman LLC located?

Kleiman LLC is located at 713 First Cotton Dr, Powder Springs, GA 30127. The listed phone number is (678) 234-9308.

What is Kleiman LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Is Kleiman LLC enrolled in Medicare?

Yes. Kleiman LLC is registered in the Medicare PECOS enrollment system.

When is Kleiman LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Georgia, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Kleiman LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Kleiman LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (4) and Emergency Medicine (1). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Kleiman LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2236638) is associated with this NPI, valid through September 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kleiman LLC was last updated on September 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.