JOHN WILLIAM CARL CARTER MALLETT MD
NPI 1003310863
Anesthesiology in Lagrange, GA
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
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show John Mallett reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Newnan, GA 30265
- Reassigned Medicare billing, Georgia enrollment
- 729 clinicians in this Medicare group
Boston, MA 02115
- Reassigned Medicare billing, Massachusetts enrollment
- 4,574 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Wellstar West Georgia Medical Center
Acute Care Hospitals · Lagrange, GAOther Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LAGRANGE, GA 30241
LAGRANGE, GA 30241
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 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.
Where is John Mallett located?
John Mallett practices at 1075 Lafayette Pkwy Ste 100, Lagrange, GA 30241. The listed phone number is (706) 443-5273.
What is John Mallett's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is John Mallett enrolled in Medicare?
Yes. John Mallett 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.
Which organizations bill Medicare for John Mallett's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Mallett reassigns Medicare benefits to 2 organizations: Sentry Anesthesia Management, LLC (Newnan, GA) and Brigham & Womens Physicians Organization Inc (Boston, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Mallett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is John Mallett affiliated with any hospitals?
According to CMS data, John Mallett is affiliated with Wellstar West Georgia Medical Center.
When was this NPI record last updated?
The NPPES record for John Mallett was last updated on August 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# John William Carl Carter Mallett, MD · NPI 1003310863
Anesthesiology physician in Lagrange, Georgia. Individual provider, active in the CMS NPPES registry since March 19, 2018.
## Identity
- **NPI:** 1003310863 (Entity type: Individual)
- **Enumerated:** March 19, 2018
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** 95070 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1075 LAFAYETTE PKWY STE 100, Lagrange, GA 30241-3507
- **Phone:** (706) 443-5273 · **Fax:** (706) 443-5275
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Sentry Anesthesia Management, LLC (NPI 1134544794, Newnan, GA); Brigham & Womens Physicians Organization Inc (NPI 1033535497, Boston, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Michigan Medical School, class of 2018
## Record status
- **NPPES last updated:** August 7, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1003310863) · Data from the CMS NPPES public registry.