MR. CHARLES LEROY PEACOCK CRNA
NPI 1063548964
Nurse Anesthetist, Certified Registered in Lawrenceville, GA
About Mr. Charles Leroy Peacock Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. CHARLES LEROY PEACOCK CRNA (NPI 1063548964) is an individual nurse anesthetist, certified registered in Lawrenceville, Georgia, licensed in Georgia (RN182133 CRNA) and active in the NPI registry since February 2007. He is affiliated with Avala and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Mr. Charles Leroy Peacock Crna 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
6Medicare enrollment records show Charles Peacock reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bogalusa, LA 70427
- Reassigned Medicare billing, Louisiana enrollment
- 4,559 clinicians in this Medicare group
New Orleans, LA 70112
- Reassigned Medicare billing, Louisiana enrollment
- 295 clinicians in this Medicare group
Metairie, LA 70001
- Reassigned Medicare billing, Louisiana enrollment
- 71 clinicians in this Medicare group
New Orleans, LA 70118
- Reassigned Medicare billing, Louisiana enrollment
- 519 clinicians in this Medicare group
Baton Rouge, LA 70809
- Reassigned Medicare billing, Louisiana enrollment
- 357 clinicians in this Medicare group
New Iberia, LA 70563
- Reassigned Medicare billing, Louisiana enrollment
- 470 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.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Avala
Acute Care Hospitals · Covington, LAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30045 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LAWRENCEVILLE, GA 30045
LAWRENCEVILLE, GA 30045
LAWRENCEVILLE, GA 30045
LAWRENCEVILLE, GA 30045
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 Charles Peacock's NPI number?
The NPI number for Charles Peacock is 1063548964. It was assigned to this individual provider in the NPPES registry on February 26, 2007.
Where is Charles Peacock located?
Charles Peacock practices at 1000 Medical Center Blvd, Lawrenceville, GA 30045. The listed phone number is (678) 442-4321.
What is Charles Peacock's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Charles Peacock enrolled in Medicare?
Yes. Charles Peacock 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 Charles Peacock's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Charles Peacock reassigns Medicare benefits to 6 organizations: Ochsner Clinic LLC (Bogalusa, LA), University Medical Center Management Corporation (New Orleans, LA), Galleria Anesthesia Associates, LLC (Metairie, LA), Childrens Hospital Anesthesia Corporation (New Orleans, LA), Anesthesiology Group Associates Inc (Baton Rouge, LA) and 1 more organization, listed in the Medicare section above. 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 Charles Peacock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Charles Peacock accept?
Health plans from HMO Louisiana list Charles Peacock as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Charles Peacock affiliated with any hospitals?
According to CMS data, Charles Peacock is affiliated with Avala.
When was this NPI record last updated?
The NPPES record for Charles Peacock was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.
# Mr. Charles Leroy Peacock, CRNA · NPI 1063548964
Nurse Anesthetist, Certified Registered physician in Lawrenceville, Georgia. Individual provider, active in the CMS NPPES registry since February 26, 2007.
## Identity
- **NPI:** 1063548964 (Entity type: Individual)
- **Enumerated:** February 26, 2007
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** RN182133 CRNA (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1000 MEDICAL CENTER BLVD, Lawrenceville, GA 30045-7694
- **Phone:** (678) 442-4321
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Ochsner Clinic LLC (NPI 1366797110, Bogalusa, LA); University Medical Center Management Corporation (NPI 1083655567, New Orleans, LA); Galleria Anesthesia Associates, LLC (NPI 1962966796, Metairie, LA); Childrens Hospital Anesthesia Corporation (NPI 1649362740, New Orleans, LA); Anesthesiology Group Associates Inc (NPI 1255399598, Baton Rouge, LA); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1063548964) · Data from the CMS NPPES public registry.