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MRS. KYLISHA J MALLARD AA
NPI 1740200468
Anesthesiologist Assistant in Atlanta, GA

Active since July 19, 2006Accepts Medicare Assignment
1968 PEACHTREE ROAD NW, ATLANTA, GA 30309(404) 351-1745(404) 351-7121 Get Directions Write a Review

NPPES record last updated: January 9, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1740200468
Entity TypeIndividualFemale
Primary Taxonomy367H00000X
Provider Legal NameMRS. KYLISHA J MALLARDCredential: AA
Location Address1968 PEACHTREE ROAD NWAtlanta, GA 30309-1281
Mailing AddressPo Box 551420Fort Lauderdale, FL 33355-1420 · (800) 243-3839 · Fax (954) 839-2569
Phone(404) 351-1745
Fax(404) 351-7121
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJuly 19, 2006
Last NPPES UpdateJanuary 9, 2024
NPPES CertifiedJanuary 9, 2024
✔ NPI 1740200468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
License✔ Licensed in GA · 4593
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.
Also ListedPhysician AssistantTaxonomy 363A00000X · License 0004593 (GA)
1968 PEACHTREE ROAD NW, Atlanta, GA 30309
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Other Identifiers 1

Medicaid760751927CGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

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

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.

PECOS PAC ID9335167568
PECOS Enrollment IDI20051107000532

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.

Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
23 services23 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
19 services19 patients

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, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110215
Location1255 Highway 54 WestFayetteville, GA 30214 · Fayette County
Emergency services 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.

WILLIAM O PRINCE MD
Anesthesiology
1968 PEACHTREE ROAD NW
ATLANTA, GA 30309
Fulton County (404) 351-1745
MR. PAUL J ZIZZI AA
Anesthesiologist Assistant
1968 PEACHTREE ROAD NW
ATLANTA, GA 30309
Fulton County (404) 351-1745
MR. KAI E THOMAS AA
Anesthesiologist Assistant
1968 PEACHTREE ROAD NW
ATLANTA, GA 30309
Fulton County (404) 351-1754
MR. JAMIE L FOWLER AA
Anesthesiologist Assistant
1968 PEACHTREE ROAD NW
ATLANTA, GA 30309
Fulton County (404) 351-1745
MOLLY A PEEK CRNA
Nurse Anesthetist, Certified Registered
1968 PEACHTREE ROAD NW
ATLANTA, GA 30309
Fulton County (404) 351-1745
DR. GEORGE CYRUS LEACH MD
Emergency Medicine
1968 PEACHTREE ROAD NW
ATLANTA, GA 30309
Fulton County (404) 605-2800
LAWRENCE A SALE MD
Anesthesiology
1968 PEACHTREE ROAD NW
ATLANTA, GA 30309
Fulton County (404) 351-1745
MR. THERON J HOLTZCLAW AA
Anesthesiologist Assistant
1968 PEACHTREE ROAD NW
ATLANTA, GA 30309
Fulton County (404) 351-1745

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.

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.