Active NPI
Alan Phrommala, CAA
- Anesthesiologist Assistant
- Rome, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- License
- 9948
- Practice address
- 501 Redmond Rd NW
Rome, GA 30165-1415 - Phone
- (706) 291-0291
- NPI assigned
- Jul 21, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | |||
| Medical Physician Assistant | 363AM0700X | 9948 | GA | |
| Anesthesiologist Assistant | 367H00000X | 9948 | GA | Primary |
Addresses
Primary practice location
501 Redmond Rd NW
Rome, GA 30165-1415
Mailing address
131 Bentonville LN
Douglasville, GA 30134-6300
Phone (615) 427-2125
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology Assistant
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
304 Turner McCall Blvd SW
Rome, GA 30165-5621
Phone (706) 509-5000
501 Redmond Rd NW
Rome, GA 30165-1415
Phone (706) 291-0291
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Associate of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9948 | GA | MD | Anesthesiologist Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mak Anesthesia Georgia, LLC | Current | Accepting new patients | |
| Redmond Anesthesia and Pain Treatment, PC | Current | Accepting new patients | |
| Georgia Group Services, LLC | Current | Accepting new patients | |
| Georgia Group Services, LLC | Current | Accepting new patients |
Locations
2360 Rockmart Hwy
Cedartown, GA 30125
Phone (770) 748-2500
501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291
16 John Maddox Dr NW
Rome, GA 30165
Phone (706) 234-0315
304 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 506-5000
2131 Fountain Dr
Snellville, GA 30078
Phone (770) 736-2225
2306 Wisteria Dr
Ste 100
Snellville, GA 30078
Phone (770) 979-8200
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Kennesaw, GA
- NPI 1609390103
-
- Anesthesiology Physician
- Rome, GA
- NPI 1821350984
-
- Anesthesiology Physician
- Rome, GA
- NPI 1093947236
-
- Anesthesiology Physician
- Cedartown, GA
- NPI 1952704942
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Atrium Health Floyd Medical Center
- General Acute Care Hospital
- Rome, GA
- NPI 1154377166
-
dba Adventhealth Redmond
- General Acute Care Hospital
- Rome, GA
- NPI 1508810565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664236800000",
"number": "1124636527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 BENTONVILLE LN",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301346300",
"telephone_number": "615-427-2125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 REDMOND RD NW",
"city": "ROME",
"state": "GA",
"postal_code": "301651415",
"telephone_number": "706-291-0291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHROMMALA",
"first_name": "ALAN",
"credential": "CAA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-21",
"last_updated": "2022-09-27",
"certification_date": "2022-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "GA",
"license": "9948",
"primary": false
},
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "GA",
"license": "9948",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rome, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.