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 registered under 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.

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Practice location Address checks out

1000 Medical Center Blvd
Lawrenceville, GA 30045-7694 Not confirmed with CMS for 19 years — call before visiting
Phone: (678) 442-4321
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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

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients80
Services billed 84 a service is one billed item, such as a visit, a test or a procedure
Average patient age71

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

  • Avala Hospital · Covington, LA

Colleagues at Galleria Anesthesia Associates, LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 36 clinicians in the practice; 8 are shown here.

Other providers in Lawrenceville