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JOHN DAVID KLISCH JR.
NPI 1447982947
Anesthesiologist Assistant in Atlanta, GA

Active since June 24, 2022Accepts Medicare Assignment
1968 PEACHTREE RD NW, ATLANTA, GA 30309(404) 605-5000 Get Directions Write a Review

NPPES record last updated: November 14, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About John David Klisch Jr. NPPES

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

JOHN DAVID KLISCH JR. (NPI 1447982947) is an individual anesthesiologist assistant in Atlanta, Georgia, licensed in Georgia (11304) and active in the NPI registry since June 2022. He is affiliated with Piedmont Hospital, maintains 4 additional practice locations, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1447982947
Entity TypeIndividualMale
Primary Taxonomy367H00000X
Provider Legal NameJOHN DAVID KLISCH JR.
Location Address1968 PEACHTREE RD NWAtlanta, GA 30309-1281
Mailing Address620 Willow Oak WayRoswell, GA 30076-6420 · (770) 853-1432
Phone(404) 605-5000
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 24, 2022
Last NPPES UpdateNovember 14, 2022
NPPES CertifiedNovember 14, 2022
✔ NPI 1447982947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
License✔ Licensed in GA · 11304
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
1968 PEACHTREE RD NW, Atlanta, GA 30309
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Secondary Practice Locations 4

Location 11800 Howell Mill Rd NW Ste 250Atlanta, GA 30318-2593 · Phone (404) 537-4910
Location 2745 Poplar RdNewnan, GA 30265-1618 · Phone (770) 400-1000
Location 3775 Poplar Rd Ste Ll20Newnan, GA 30265-8306 · Phone (770) 253-1912
Location 41255 Highway 54 WFayetteville, GA 30214-4526 · Phone (404) 351-1745

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

John David Klisch Jr. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648648477
PECOS Enrollment IDI20221128003028

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Piedmont Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110083
Location1968 Peachtree Rd NWAtlanta, GA 30309 · Fulton County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TRACY PURCELL NICHOLAS NP
Nurse Practitioner (Acute Care)
1968 PEACHTREE RD NW, PIEDMONT HOSPITAL TRANSPLANT SERVICES
ATLANTA, GA 30309
Fulton County (404) 605-4602
JINAL ACHYUTKUMAR KHAMAR CAA
Anesthesiology
1968 PEACHTREE RD NW
ATLANTA, GA 30309
Fulton County (404) 605-5000
BRITTANY R BARRON
Nurse Anesthetist, Certified Registered
1968 PEACHTREE RD NW
ATLANTA, GA 30309
Fulton County (404) 451-0960
ELIZABETH ELOISE COTTEN PA-C
Physician Assistant
1968 PEACHTREE RD NW
ATLANTA, GA 30309
Fulton County (404) 367-3014
DEBORA LOU COURSEY-PRAH MD
Radiology (Diagnostic Radiology)
1968 PEACHTREE RD NW, RADIOLOGY DEPARTMENT
ATLANTA, GA 30309
Fulton County (404) 605-5000
CAROLINE MCCOY ANP-BC
Nurse Practitioner (Adult Health)
1968 PEACHTREE RD NW, BUILDING 77, 5TH FLOOR
ATLANTA, GA 30309
Fulton County (404) 605-4358
CHARITA MERCHANT CRNA
Nurse Anesthetist, Certified Registered
1968 PEACHTREE RD NW
ATLANTA, GA 30309
Fulton County (678) 216-0771
TAYLOR JONES PA-C
Physician Assistant
1968 PEACHTREE RD NW
ATLANTA, GA 30309
Fulton County (470) 788-1010

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 John Klisch's NPI number?

The NPI number for John Klisch is 1447982947. It was assigned to this individual provider in the NPPES registry on June 24, 2022.

Where is John Klisch located?

John Klisch practices at 1968 Peachtree Rd NW, Atlanta, GA 30309. The listed phone number is (404) 605-5000.

What is John Klisch's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is John Klisch enrolled in Medicare?

Yes. John Klisch is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is John Klisch affiliated with any hospitals?

According to CMS data, John Klisch is affiliated with Piedmont Hospital.

When was this NPI record last updated?

The NPPES record for John Klisch was last updated on November 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.