JOHN WILLIAM CARL CARTER MALLETT MD - NPI 1003310863

Q: What is John Mallett's NPI number?

The NPI number for John Mallett is 1003310863. It was assigned to this individual provider in the NPPES registry on March 19, 2018.

Q: What is John Mallett's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Q: When was this NPI record last updated?

The NPPES record for John Mallett was last updated on August 7, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About John William Carl Carter Mallett Md NPPES

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

JOHN WILLIAM CARL CARTER MALLETT MD (NPI 1003310863) is an individual anesthesiology provider in Lagrange, Georgia, licensed in Georgia (95070) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Wellstar West Georgia Medical Center, and is a graduate of University Of Michigan Medical School (2018).

NPPES Registry Identity

NPI1003310863

Entity TypeIndividualMale

Primary Taxonomy207L00000X

Provider Legal NameJOHN WILLIAM CARL CARTER MALLETTCredential: MD

Location Address1075 LAFAYETTE PKWY STE 100Lagrange, GA 30241-3507

Mailing Address1075 Lafayette Pkwy Ste 100Lagrange, GA 30241-3507 · (706) 443-5273 · Fax (706) 443-5275

Phone(706) 443-5273

Fax(706) 443-5275

Sole ProprietorNo

Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2018

Enumeration DateMarch 19, 2018

Last NPPES UpdateAugust 7, 20254 updates tracked since enumeration

NPPES CertifiedAugust 7, 2025

✔ NPI 1003310863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207L00000X

License✔ Licensed in GA · 95070

Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X · License 95070 (GA)

1075 LAFAYETTE PKWY STE 100, Lagrange, GA 30241

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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

John William Carl Carter Mallett Md 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 ID4385996115

PECOS Enrollment IDI20230614002274

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NOTOYA SCOTT NP-C

Nurse Practitioner (Family)