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MR. HARRY MALLETTE PEAGLER IV AA
NPI 1457833105
Anesthesiologist Assistant in Rome, GA

Active since August 29, 2018
304 TURNER MCCALL BLVD SW, ROME, GA 30165(706) 509-5000 Get Directions Write a Review

NPPES record last updated: August 29, 2018. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mr. Harry Mallette Peagler Iv Aa NPPES

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

MR. HARRY MALLETTE PEAGLER IV AA (NPI 1457833105) is an individual anesthesiologist assistant in Rome, Georgia and active in the NPI registry since August 2018. He is affiliated with Atrium Health Floyd Medical Center and is a graduate of Other (2018).

NPPES Registry Identity

NPI1457833105
Entity TypeIndividualMale
Primary Taxonomy367H00000X
Provider Legal NameMR. HARRY MALLETTE PEAGLER IVCredential: AA
Location Address304 TURNER MCCALL BLVD SWRome, GA 30165-5621
Mailing Address2203 Claridge Dr SeRome, GA 30161-8580 · (912) 470-9764
Phone(706) 509-5000
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 29, 2018
✔ NPI 1457833105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
304 TURNER MCCALL BLVD SW, Rome, GA 30165
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Harry Mallette Peagler Iv Aa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2466796149
PECOS Enrollment IDI20181206002081

Medicare Billing Reassignments

2

Medicare enrollment records show Harry Peagler reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Georgia Group Services, LLC
0.1 mi
Anesthesiology
304 TURNER MCCALL BLVD SW
Rome, GA 30165
  • Reassigned Medicare billing, Georgia enrollment
  • 164 clinicians in this Medicare group
NPI 1093947236 (770) 509-5000
Mak Anesthesia Georgia, LLC
38 mi
Anesthesiology
1300 RIDENOUR BLVD NW STE 300
Kennesaw, GA 30152
  • Reassigned Medicare billing, Georgia enrollment
  • 213 clinicians in this Medicare group
NPI 1609390103 (770) 702-1806

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.

Atrium Health Floyd Medical Center

Acute Care Hospitals · Rome, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110054
Location304 Turner Mccall BoulevardRome, GA 30162 · Floyd County
Birthing friendly

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.

CHARLES BROWN NP
Nurse Practitioner (Neonatal)
304 TURNER MCCALL BLVD SW
ROME, GA 30165
Floyd County (706) 509-6515
BENJAMIN ROOKE AA
Anesthesiologist Assistant
304 TURNER MCCALL BLVD SW
ROME, GA 30165
Floyd County (706) 509-5000
DR. SUSAN UCHENNA OTALUKA MD
Internal Medicine
304 TURNER MCCALL BLVD SW
ROME, GA 30165
Floyd County (706) 509-5000
JOHN MICHAEL HUGHES PHARMD
Pharmacist (Oncology)
304 TURNER MCCALL BLVD SW
ROME, GA 30165
Floyd County (762) 235-3908
WILDER GLOVER LITTLE JR. MD
Urology
304 TURNER MCCALL BLVD SW
ROME, GA 30165
Floyd County (706) 509-5000
STEPHEN CARL VATH RN, CRNA
Nurse Anesthetist, Certified Registered
304 TURNER MCCALL BLVD SW
ROME, GA 30165
Floyd County (865) 985-6110
NYLA LIEU JAMES PA
Physician Assistant
304 TURNER MCCALL BLVD SW
ROME, GA 30165
Floyd County (706) 509-5000
EMMA FAIRLIE TEAL PA
Physician Assistant
304 TURNER MCCALL BLVD SW
ROME, GA 30165
Floyd County (706) 509-5000

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 Harry Peagler's NPI number?

The NPI number for Harry Peagler is 1457833105. It was assigned to this individual provider in the NPPES registry on August 29, 2018.

Where is Harry Peagler located?

Harry Peagler practices at 304 Turner Mccall Blvd SW, Rome, GA 30165. The listed phone number is (706) 509-5000.

What is Harry Peagler's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Harry Peagler enrolled in Medicare?

Yes. Harry Peagler is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Harry Peagler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Harry Peagler reassigns Medicare benefits to 2 organizations: Georgia Group Services, LLC (Rome, GA) and Mak Anesthesia Georgia, LLC (Kennesaw, GA). 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 Harry Peagler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Harry Peagler affiliated with any hospitals?

According to CMS data, Harry Peagler is affiliated with Atrium Health Floyd Medical Center.

When was this NPI record last updated?

The NPPES record for Harry Peagler was last updated on August 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.