Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Charles Leroy Peacock, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1063548964

Mr. Charles Leroy Peacock, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Lawrenceville, Georgia. Qualified in 2014, 12 years ago. Practices with Galleria Anesthesia Associates, LLC, a 36-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
12
Licensed in
GA
In the registry since
2007
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1000 Medical Center Blvd
Lawrenceville, GA 30045-7694
Phone: (678) 442-4321
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence RN182133 CRNA (GA)

Record details

NPI number1063548964
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedFebruary 26, 2007
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Galleria Anesthesia Associates, Llc — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lawrenceville