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

Alan Phrommala, CAA

Individual provider Medical Physician Assistant · NPI 1124636527

Alan Phrommala, CAA is an Anesthesiology Assistant in Rome, Georgia. Qualified in 2020, 6 years ago. Practices with Mak Anesthesia Georgia, LLC, a 107-clinician group. Licensed in Georgia.

Years since qualifying
6
Licensed in
GA
In the registry since
2020
Specialties on file
3
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Practice location Address checks out

501 Redmond Rd NW
Rome, GA 30165-1415
Phone: (706) 291-0291
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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 9948 (GA)
Medical Physician Assistant Taxonomy 363AM0700X
Medical Physician Assistant Taxonomy 363AM0700X · Licence 9948 (GA)

Record details

NPI number1124636527
Entity typeIndividual (Type 1)
GenderMale
Credentials CAA
Sole proprietorNo
NPI enumeratedJuly 21, 2020
Last updated in NPPESSeptember 27, 2022
Certification dateSeptember 27, 2022
Mailing address131 Bentonville Ln, Douglasville, GA 30134-6300

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Mak Anesthesia Georgia, Llc — 107 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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