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

John David Klisch Jr.

Individual provider Anesthesiologist Assistant · NPI 1447982947

John David Klisch Jr. is an Anesthesiology Assistant in Atlanta, 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
2
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Practice location Address checks out

1968 Peachtree Rd NW
Atlanta, GA 30309-1281
Phone: (404) 605-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 1800 Howell Mill Rd Nw Ste 250, Atlanta, GA 30318-2593 — (404) 537-4910
  • 1255 Highway 54 W, Fayetteville, GA 30214-4526 — (404) 351-1745
  • 775 Poplar Rd Ste Ll20, Newnan, GA 30265-8306 — (770) 253-1912
  • 745 Poplar Rd, Newnan, GA 30265-1618 — (770) 400-1000

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence 11304 (GA)
Anesthesiologist Assistant Taxonomy 367H00000X

Record details

NPI number1447982947
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 24, 2022
Last updated in NPPESNovember 14, 2022
Certification dateNovember 14, 2022
Mailing address620 Willow Oak Way, Roswell, GA 30076-6420

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
Practice locations2 on file with Medicare

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