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

Mr. Harry Mallette Peagler IV, AA

Individual provider Anesthesiologist Assistant · NPI 1457833105

Mr. Harry Mallette Peagler IV, AA is an Anesthesiology Assistant in Rome, Georgia. Qualified in 2018, 8 years ago. Practices with Mak Anesthesia Georgia, LLC, a 107-clinician group.

Years since qualifying
8
In the registry since
2018
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Practice location Address checks out

304 Turner McCall Blvd SW
Rome, GA 30165-5621
Phone: (706) 509-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X

Record details

NPI number1457833105
Entity typeIndividual (Type 1)
GenderMale
Credentials AA
Sole proprietorYes
NPI enumeratedAugust 29, 2018
Last updated in NPPESAugust 29, 2018

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Mak Anesthesia Georgia, Llc — 107 clinicians
Accepts Medicare assignment Not indicated

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