ALAN M YAHANDA (MD) – Surgery Physician, NPI 1366443129
Surgery Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
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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
| Company | Amount |
|---|---|
| Myriad Genetic Laboratories, Inc. | $27 |
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080306000172 | I | General Surgery | IN | TBD |
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.
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
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| - | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Emergency Medicine | GA | |
| - | GA | |
| Plastic And Reconstructive Surgery | GA | |
| Nurse Practitioner | GA | |
| P S Y C H I A T R Y | GA | |
| - | NC |
Reviews
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