NPI age
19 years
Enumerated 2006-06-29
● Active
Type 1 · Individual
MR. Mark David Roman, PA-C
Roman is 1 of 9 physician assistant providers in Dallas and 1 of 4616 in Georgia.
Primary specialty
Physician Assistant
Licensed in
FL
1 state
Status
Active
No deactivations on record
Last NPPES update
2018-08-13
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 4616 active physician assistant providers in Georgia.
NPI age
19 years
↑ 11 yr above median (8 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
24% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-06Enumerated in NPPES
2006
2026
Where they practice
Practice location
225 Mary Wallace Way
Dallas, GA 301575054
Mailing address
10 Kruger Rd
Plains, MT 598599271
Specialties
-
Physician Assistant PrimaryA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (FL) | 291095100 |
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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