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

Leeshah Kim

Individual provider Anesthesiologist Assistant · NPI 1629640628

Leeshah Kim is an Anesthesiology Assistant in Conyers, Georgia. Qualified in 2021, 5 years ago. Practices with Porter County Anesthesia Associates PC, a 29-clinician group and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2021

Practice location Address checks out

1412 Milstead Ave NE
Conyers, GA 30012-3877
Phone: (770) 918-3000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X

Record details

NPI number1629640628
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 11, 2021
Last updated in NPPESJuly 11, 2021
Certification dateJuly 11, 2021
Mailing address1 Biscayne Dr Nw Unit 203, Atlanta, GA 30309-1076

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Porter County Anesthesia Associates Pc — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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