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CALEB I MARTINEZ LAZO CAA
NPI 1639809353
Anesthesiologist Assistant in Fayetteville, GA

Active since June 15, 2022Accepts Medicare Assignment
1255 HIGHWAY 54 W, FAYETTEVILLE, GA 30214(770) 719-7000 Get Directions Write a Review

NPPES record last updated: October 18, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Caleb I Martinez Lazo Caa NPPES

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

CALEB I MARTINEZ LAZO CAA (NPI 1639809353) is an individual anesthesiologist assistant in Fayetteville, Georgia, licensed in Georgia (11208) and active in the NPI registry since June 2022. He is affiliated with Piedmont Fayette Hospital, maintains 4 additional practice locations, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1639809353
Entity TypeIndividualMale
Primary Taxonomy367H00000X
Provider Legal NameCALEB I MARTINEZ LAZOCredential: CAA
Location Address1255 HIGHWAY 54 WFayetteville, GA 30214-4526
Mailing Address718 Nightwind WayStockbridge, GA 30281-9134 · (678) 978-0169
Phone(770) 719-7000
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 15, 2022
Last NPPES UpdateOctober 18, 2022
NPPES CertifiedOctober 18, 2022
✔ NPI 1639809353 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 · 11208
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.
1255 HIGHWAY 54 W, Fayetteville, GA 30214
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Secondary Practice Locations 4

Location 11968 Peachtree Rd NWAtlanta, GA 30309-1281 · Phone (678) 216-0771
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 41800 Howell Mill Rd NW Ste 250Atlanta, GA 30318-2593 · Phone (404) 537-4910

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Caleb I Martinez Lazo Caa 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 ID7719353226
PECOS Enrollment IDI20221024001905

Medicare Billing Reassignments

2

Medicare enrollment records show Caleb Martinez Lazo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Piedmont Anesthesia LLC
17 mi
Anesthesiology
1133 EAGLES LANDING PKWY
Stockbridge, GA 30281
  • Reassigned Medicare billing, Georgia enrollment
  • 713 clinicians in this Medicare group
NPI 1700474244 (678) 604-1053
Piedmont Anesthesia Associates, L.L.C
25 mi
Anesthesiology
1984 PEACHTREE ROAD NW, SUITE 515
Atlanta, GA 30309
  • Reassigned Medicare billing, Georgia enrollment
  • 441 clinicians in this Medicare group
NPI 1407856594 (404) 351-1745

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

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
22 services22 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
18 services18 patients
Anesthesia for procedure to correct abnormal heart rhythm 00410
Anesthesia for a procedure to correct abnormal heart rhythm ensures you won't feel pain during the treatment. It can be general, where you're completely asleep, or local, numbing only a specific area. Your vital signs are monitored to ensure safety during the procedure.
12 services12 patients
Anesthesia for extensive surgery on spine 00670
Anesthesia for extensive spine surgery involves medication to block pain and make you unconscious during the procedure. It ensures comfort and prevents movement. Two types may be used: general (you sleep) or regional (numbs a large area). The choice depends on the surgery specifics and your health.
12 services12 patients
Anesthesia for insertion of permanent heart pacemaker 00530
Anesthesia for a permanent heart pacemaker insertion helps to ensure comfort and calmness during the procedure. It's typically a local anesthetic, numbing the area where the pacemaker is inserted. Sedation may also be given to help you relax. You'll be awake, but may not remember the procedure.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Piedmont Fayette Hospital

Acute Care Hospitals · Fayetteville, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110215
Location1255 Highway 54 WestFayetteville, GA 30214 · Fayette 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.

DR. ROBIN LOWMAN WHITE
Emergency Medicine
1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214
Fayette County (770) 719-6911
DANIEL LEE DUNCAN
Anesthesiologist Assistant
1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214
Fayette County (770) 719-7000
MRS. LISA LAJUNE SMITH PT, M.ED.
Physical Therapist
1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214
Fayette County (770) 719-7183
ANGELA MILLER FNP
Nurse Practitioner (Family)
1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214
Fayette County (770) 719-6799
TIFFANY DEANNA LANCE M.D.
Anesthesiology
1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214
Fayette County (770) 719-7000
CALLIE KENNEDY
Anesthesiologist Assistant
1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214
Fayette County (770) 719-7000
SAFEGUARD EMERGENCY PHYSICIANS, LLC
Emergency Medicine
1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214
Fayette County (469) 401-2386
ASHLEY ANN LOUNDS CRNA
Nurse Anesthetist, Certified Registered
1255 HIGHWAY 54 W
FAYETTEVILLE, GA 30214
Fayette County (770) 719-7000

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 Caleb Martinez Lazo's NPI number?

The NPI number for Caleb Martinez Lazo is 1639809353. It was assigned to this individual provider in the NPPES registry on June 15, 2022.

Where is Caleb Martinez Lazo located?

Caleb Martinez Lazo practices at 1255 Highway 54 W, Fayetteville, GA 30214. The listed phone number is (770) 719-7000.

What is Caleb Martinez Lazo's specialty?

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

Is Caleb Martinez Lazo enrolled in Medicare?

Yes. Caleb Martinez Lazo 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.

Which organizations bill Medicare for Caleb Martinez Lazo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Caleb Martinez Lazo reassigns Medicare benefits to 2 organizations: Piedmont Anesthesia LLC (Stockbridge, GA) and Piedmont Anesthesia Associates, L.L.C (Atlanta, GA). Each 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 Caleb Martinez Lazo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Caleb Martinez Lazo affiliated with any hospitals?

According to CMS data, Caleb Martinez Lazo is affiliated with Piedmont Fayette Hospital.

When was this NPI record last updated?

The NPPES record for Caleb Martinez Lazo was last updated on October 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.