ALAN M YAHANDA (MD) – Surgery Physician, NPI 1366443129

ALAN M YAHANDA (MD) is a healthcare provider. based in Newnan, Georgia. specializing in Surgery Physician. They hold the professional credentials MD. They hold a License No. 071202 (GA). The NPI Number for ALAN M YAHANDA (MD) is 1366443129

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
ALAN M YAHANDA (MD)
NPI
1366443129
Phone
(770) 400-6288
Address
600 CELEBRATE LIFE PKWY
Enumeration Date
2 August 2005
Last Update Date
10 June 2024

Doctor Profile

Medical School Name
JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7704006000
Graduation Year
1985 (41 years ago)
PAC ID
2264422922
Group Practice PAC ID
4880841212
Professional Enrollment ID
I20140305000157

Contacts

Secure Messaging
ayahanda385110@direct-ehr-ssmhc.com
FHIR Endpoint
https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience87
Completeness85
Years active:20State licenses:3Other namesUpdated within 12 months

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Provider Addresses for ALAN M YAHANDA (MD)

  • Cancer Treatment Centers of America at Southeastern Regional Medical Center, 600, Celebrate Life Parkway, Newnan, Coweta, Georgia, 30265, United States

    NEWNAN, GA 302658001

    Phone: (770) 400-6288

    Type: Location

  • PO BOX 955534

    SAINT LOUIS, MO 631955534

    Phone: (636) 498-5973

    Type: Mailing

  • 3440 DE PAUL LN STE 110A

    BRIDGETON, MO 630443546

    Phone: (314) 209-5225

    Type: Location

  • 11050 PARKVIEW CIRCLE DR

    FORT WAYNE, IN 468451739

    Phone: (833) 274-8326

    Fax: (260) 266-7935

    Type: Location

  • 11109 PARKVIEW PLAZA DR # 117

    FORT WAYNE, IN 468451701

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $27.

Total Amount is formed as General ($27) + Research ($0) + Ownership ($0) = $27.

Last reported payment date: 2024-11-15 • Largest payer in this snapshot: Myriad Genetic Laboratories, Inc. ($27).

Total Amount

$27

General + Research + Ownership

Payments

1

Total payment records

General Amount

$27

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-15

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-03-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080306000172IGeneral SurgeryINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30265)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4880841212View full group profile
NameSpecialtyState
Nurse PractitionerGA
-GA
Nurse PractitionerGA
Nurse PractitionerGA
Emergency MedicineGA
-GA
Plastic And Reconstructive SurgeryGA
Nurse PractitionerGA
P S Y C H I A T R YGA
-NC

Reviews

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Frequently asked questions

What NPI should I save for ALAN M YAHANDA (MD)?
Save NPI 1366443129 if you need a stable reference for ALAN M YAHANDA (MD).
Does this profile mean ALAN M YAHANDA (MD) is currently active?
Yes — ALAN M YAHANDA (MD) appears active in the national provider directory.
What kind of provider is ALAN M YAHANDA (MD)?
The page reflects Surgery Physician for ALAN M YAHANDA (MD). Clinical services aligned with this taxonomy classification.
Where is ALAN M YAHANDA (MD)'s primary listing?
We display Newnan, Georgia because that is what the record indicates for ALAN M YAHANDA (MD).
Is ALAN M YAHANDA (MD) a real provider?
This page reflects official NPPES data for NPI 1366443129. Always confirm identity and privileges with the practice and licensing boards.

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