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MICHAEL KALLAB CAA
NPI 1699641407
Anesthesiologist Assistant in Gainesville, GA

Active since October 17, 2025Accepts Medicare Assignment
743 SPRING ST NE, GAINESVILLE, GA 30501(770) 532-7179 Get Directions Write a Review

NPPES record last updated: October 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael Kallab Caa NPPES

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

MICHAEL KALLAB CAA (NPI 1699641407) is an individual anesthesiologist assistant in Gainesville, Georgia, licensed in Georgia (13495) and active in the NPI registry since October 2025. He is affiliated with Northeast Georgia Medical Center, Inc and is a graduate of Other (2025).

NPPES Registry Identity

NPI1699641407
Entity TypeIndividualMale
Primary Taxonomy367H00000X
Provider Legal NameMICHAEL KALLABCredential: CAA
Location Address743 SPRING ST NEGainesville, GA 30501-3899
Mailing Address1488 Jesse Jewell Pkwy Se Ste 201Gainesville, GA 30501-3804 · (770) 532-7179
Phone(770) 532-7179
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 17, 2025
NPPES CertifiedOctober 17, 2025
✔ NPI 1699641407 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 · 13495
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.
743 SPRING ST NE, Gainesville, GA 30501
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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

Michael Kallab 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 ID2163913286
PECOS Enrollment IDI20251117003867

Hospital Affiliations CMS Care Compare 2

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

Northeast Georgia Medical Center, Inc

Acute Care Hospitals · Gainesville, GA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number110029
Location743 Spring StreetGainesville, GA 30501 · Hall County
Emergency services Birthing friendly

Northeast Georgia Medical Center Lumpkin

Acute Care Hospitals · Dahlonega, GA
OwnershipVoluntary non-profit - Other
CMS Certification Number110237
Location495 Highway 400 NorthDahlonega, GA 30533 · Lumpkin County
Emergency services

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.

DARRYL E BLALOCK CRNA
Nurse Anesthetist, Certified Registered
743 SPRING ST NE
GAINESVILLE, GA 30501
Hall County (770) 532-7179
JACOB LEEDEKERKEN
Emergency Medicine
743 SPRING ST NE
GAINESVILLE, GA 30501
Hall County (770) 219-1200
ANELA D PEARSON AGACNP-BC
Nurse Practitioner (Gerontology)
743 SPRING ST NE
GAINESVILLE, GA 30501
Hall County (770) 534-2020
DR. SHARANI UMAYANGANI JAYARATNE MD
Emergency Medicine
743 SPRING ST NE
GAINESVILLE, GA 30501
Hall County (770) 219-1200
JUSTINA LI VEGA PA-C
Physician Assistant (Surgical)
743 SPRING ST NE
GAINESVILLE, GA 30501
Hall County (770) 533-7288
RACHAEL PHLIPOT CAA
Anesthesiologist Assistant
743 SPRING ST NE
GAINESVILLE, GA 30501
Hall County (770) 532-7179
DR. KEITH EDWIN LEAP II MD
Emergency Medicine
743 SPRING ST NE
GAINESVILLE, GA 30501
Hall County (786) 357-9327
CHRISTINE D LALLOS MD
Anesthesiology (Critical Care Medicine)
743 SPRING ST NE
GAINESVILLE, GA 30501
Hall County (770) 219-9000

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 Michael Kallab's NPI number?

The NPI number for Michael Kallab is 1699641407. It was assigned to this individual provider in the NPPES registry on October 17, 2025.

Where is Michael Kallab located?

Michael Kallab practices at 743 Spring St NE, Gainesville, GA 30501. The listed phone number is (770) 532-7179.

What is Michael Kallab's specialty?

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

Is Michael Kallab enrolled in Medicare?

Yes. Michael Kallab 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 Michael Kallab affiliated with any hospitals?

According to CMS data, Michael Kallab is affiliated with Northeast Georgia Medical Center, Inc and Northeast Georgia Medical Center Lumpkin.

When was this NPI record last updated?

The NPPES record for Michael Kallab was last updated on October 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.