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

Mrs. Kylisha J Mallard, AA

Individual provider Physician Assistant · NPI 1740200468

Mrs. Kylisha J Mallard, AA is an Anesthesiology Assistant in Atlanta, Georgia. Qualified in 2005, 21 years ago. Practices with Piedmont Anesthesia LLC, a 554-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
21
Licensed in
GA
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

1968 Peachtree Rd NW
Atlanta, GA 30309-1281
Phone: (404) 351-1745
Fax: (404) 351-7121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence 4593 (GA)
Physician Assistant Taxonomy 363A00000X · Licence 0004593 (GA)

Record details

NPI number1740200468
Entity typeIndividual (Type 1)
GenderFemale
Credentials AA
Sole proprietorNo
NPI enumeratedJuly 19, 2006
Last updated in NPPESJanuary 9, 2024
Certification dateJanuary 9, 2024

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Piedmont Anesthesia Llc — 554 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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