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

Susanne Alice Marie Roman

Individual provider Family Nurse Practitioner · NPI 1578211835

Susanne Alice Marie Roman is a Nurse Practitioner in Dothan, Alabama. Qualified in 2022, 4 years ago. Practices with Cardiology Associates, PA, a 7-clinician group and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
4
Licensed in
AL
In the registry since
2022

Practice location Address checks out

4300 W Main St Ste 102
Dothan, AL 36305-1306
Phone: (334) 793-9564
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1-156884 (AL)

Record details

NPI number1578211835
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 16, 2022
Last updated in NPPESMarch 16, 2022
Certification dateMarch 16, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Cardiology Associates, Pa — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Dothan