Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Caleb I Martinez Lazo, CAA

Individual provider Anesthesiologist Assistant · NPI 1639809353

Caleb I Martinez Lazo, CAA is an Anesthesiology Assistant in Fayetteville, Georgia. Qualified in 2022, 4 years ago. Practices with Piedmont Anesthesia LLC, a 554-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
4
Licensed in
GA
In the registry since
2022
Specialties on file
3
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Practice location Address checks out

1255 Highway 54 W
Fayetteville, GA 30214-4526
Phone: (770) 719-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 1968 Peachtree Rd Nw, Atlanta, GA 30309-1281 — (678) 216-0771
  • 1800 Howell Mill Rd Nw Ste 250, Atlanta, GA 30318-2593 — (404) 537-4910
  • 745 Poplar Rd, Newnan, GA 30265-1618 — (770) 400-1000
  • 775 Poplar Rd Ste Ll20, Newnan, GA 30265-8306 — (770) 253-1912

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence 11208 (GA)
Anesthesiologist Assistant Taxonomy 367H00000X (GA)
Anesthesiologist Assistant Taxonomy 367H00000X

Record details

NPI number1639809353
Entity typeIndividual (Type 1)
GenderMale
Credentials CAA
Sole proprietorNo
NPI enumeratedJune 15, 2022
Last updated in NPPESOctober 18, 2022
Certification dateOctober 18, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Piedmont Anesthesia Llc — 554 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fayetteville