John William Carl Carter Mallett, MD in Lagrange, GA

John William Carl Carter Mallett, MD is a medicare enrolled "Anesthesiology" physician in Lagrange, Georgia. He went to University Of Michigan Medical School and graduated in 2018 and has 7 years of diverse experience with area of expertise as Pain Management. He is a member of the group practice Total Diagnostic And Interventional Pain Pc, Sentry Anesthesia Management, Llc and his current practice location is 1075 Lafayette Pkwy Ste 100, Lagrange, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 443-5273.

John William Carl Carter Mallett is licensed to practice in Georgia (license number 95070) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1003310863.

Contact Information

	John William Carl Carter Mallett, MD
	1075 Lafayette Pkwy Ste 100, Lagrange, GA 30241-3507
	(706) 443-5273
	(706) 443-5275

Map and Direction

Physician's Profile

Full Name	John William Carl Carter Mallett
Gender	Male
Speciality	Pain Management
Experience	7 Years
Location	1075 Lafayette Pkwy Ste 100, Lagrange, Georgia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

John William Carl Carter Mallett attended and graduated from University Of Michigan Medical School in 2018

NPI Data:

NPI Number: 1003310863
Provider Enumeration Date: 03/19/2018
Last Update Date: 08/07/2025

Medicare PECOS Information:

PECOS PAC ID: 4385996115
Enrollment ID: I20230614002274

Medical Identifiers

Medical identifiers for John William Carl Carter Mallett such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003310863	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207LP2900X	Anesthesiology - Pain Medicine	95070 (Georgia)	Secondary
207L00000X	Anesthesiology	95070 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Wellstar West Georgia Medical Center	Lagrange, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Total Diagnostic And Interventional Pain Pc	7517123904	2
Sentry Anesthesia Management, Llc	9436372323	203

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. John William Carl Carter Mallett allows following entities to bill medicare on his behalf.

Entity Name	Total Diagnostic And Interventional Pain Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609143502 PECOS PAC ID: 7517123904 Enrollment ID: O20120731000067

Entity Name	Sentry Anesthesia Management, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134544794 PECOS PAC ID: 9436372323 Enrollment ID: O20140521002571

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. John William Carl Carter Mallett is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
John William Carl Carter Mallett, MD 1075 Lafayette Pkwy Ste 100, Lagrange, GA 30241-3507 Ph: (706) 443-5273	John William Carl Carter Mallett, MD 1075 Lafayette Pkwy Ste 100, Lagrange, GA 30241-3507 Ph: (706) 443-5273

Reviews and Comments

Anesthesiology Doctors in Lagrange, GA

Jung H Ahn, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1514 Vernon Rd, Lagrange, GA 30240 Phone: 706-882-1411
Dr. Deborah A Simmons, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1805 Vernon Rd, Suite C, Lagrange, GA 30240 Phone: 706-812-9902 Fax: 706-812-0802
Davin Mitchell, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1075 Lafayette Pkwy, Ste 100, Lagrange, GA 30241 Phone: 706-593-3256 Fax: 706-443-5275
Jennifer M Sanderson, DO Anesthesiology Medicare: Medicare Enrolled Practice Location: 1805 Vernon Rd Ste C, Lagrange, GA 30240 Phone: 706-812-9902 Fax: 706-812-0802

John William Carl Carter Mallett, MD - Medicare Pain Management in Lagrange, GA