MRS. KYLISHA J MALLARD AA
NPI 1740200468
Anesthesiologist Assistant in Atlanta, GA
About Mrs. Kylisha J Mallard Aa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KYLISHA J MALLARD AA (NPI 1740200468) is an individual anesthesiologist assistant in Atlanta, Georgia, licensed in Georgia (4593) and active in the NPI registry since July 2006. She is affiliated with Piedmont Fayette Hospital and is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
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
Mrs. Kylisha J Mallard Aa 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
3Medicare enrollment records show Kylisha Mallard reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Atlanta, GA 30309
- Reassigned Medicare billing, Georgia enrollment
- 441 clinicians in this Medicare group
Morrow, GA 30260
- Reassigned Medicare billing, Georgia enrollment
- 49 clinicians in this Medicare group
Stockbridge, GA 30281
- Reassigned Medicare billing, Georgia enrollment
- 713 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 2
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.
Piedmont Fayette Hospital
Acute Care Hospitals · Fayetteville, GAOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kylisha Mallard's NPI number?
The NPI number for Kylisha Mallard is 1740200468. It was assigned to this individual provider in the NPPES registry on July 19, 2006.
Where is Kylisha Mallard located?
Kylisha Mallard practices at 1968 Peachtree Road NW, Atlanta, GA 30309. The listed phone number is (404) 351-1745.
What is Kylisha Mallard's specialty?
The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.
Is Kylisha Mallard enrolled in Medicare?
Yes. Kylisha Mallard 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 Kylisha Mallard's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kylisha Mallard reassigns Medicare benefits to 3 organizations: Piedmont Anesthesia Associates, L.L.C (Atlanta, GA), Capitol Anesthesiology, PC (Morrow, GA) and Piedmont Anesthesia LLC (Stockbridge, 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 Kylisha Mallard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kylisha Mallard accept?
Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Kylisha Mallard 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 Kylisha Mallard affiliated with any hospitals?
According to CMS data, Kylisha Mallard is affiliated with Piedmont Fayette Hospital.
When was this NPI record last updated?
The NPPES record for Kylisha Mallard was last updated on January 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mrs. Kylisha J Mallard, AA · NPI 1740200468
Anesthesiologist Assistant physician in Atlanta, Georgia. Individual provider, active in the CMS NPPES registry since July 19, 2006.
## Identity
- **NPI:** 1740200468 (Entity type: Individual)
- **Enumerated:** July 19, 2006
- **Primary specialty:** Anesthesiologist Assistant · taxonomy 367H00000X
- **State license:** 4593 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1968 PEACHTREE ROAD NW, Atlanta, GA 30309-1281
- **Phone:** (404) 351-1745 · **Fax:** (404) 351-7121
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Piedmont Anesthesia Associates, L.L.C (NPI 1407856594, Atlanta, GA); Capitol Anesthesiology, PC (NPI 1245287192, Morrow, GA); Piedmont Anesthesia LLC (NPI 1700474244, Stockbridge, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** January 9, 2024
- **Other identifiers:** Medicaid 760751927C (GA)
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Source: [NPI Profile](https://npiprofile.com/npi/1740200468) · Data from the CMS NPPES public registry.