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

Alan Stanley Domack, PA-C

Individual provider Physician Assistant · NPI 1275043135

Alan Stanley Domack, PA-C is a Physician Assistant in Cumming, Georgia. Qualified in 2017, 9 years ago. Practices with Peachtree Orthopaedic Clinic PA, a 132-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
9
Licensed in
GA
In the registry since
2017
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2860 Ronald Reagan Blvd Ste 240
Cumming, GA 30041-6289
Phone: (404) 355-0743
Fax: (855) 283-8851
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9678 (GA)

Record details

NPI number1275043135
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 5, 2017
Last updated in NPPESJuly 6, 2026
Certification dateJuly 6, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Peachtree Orthopaedic Clinic Pa — 132 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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