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

Ginna Kathleen Prutzman, PA-C

Individual provider Surgical Physician Assistant · NPI 1184210114

Ginna Kathleen Prutzman, PA-C is a Physician Assistant in Montgomery, Alabama. Graduated from Louisiana State University School of Medicine in Shreveport in 2020, 6 years ago. Practices with Health Care Authority for Baptist Health, an Affiliate of Uabhs, a 269-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
6
Trained at
Louisiana State University School of Medicine in Shreveport
Licensed in
AL
In the registry since
2020
Specialties on file
2
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

4145 Carmichael Rd
Montgomery, AL 36106-2803
Phone: (334) 273-7000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA.1673 (AL)
Physician Assistant Taxonomy 363A00000X · Licence PA.1673 (AL)

Record details

NPI number1184210114
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 14, 2020
Last updated in NPPESOctober 19, 2023
Certification dateOctober 19, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated 2020 (6 years in practice)
Group practice Health Care Authority For Baptist Health, An Affiliate Of Uabhs — 269 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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