ALYSSA D THROCKMORTON (MD) – Surgery Physician, NPI 1588711469

ALYSSA D THROCKMORTON (MD) is a healthcare provider. based in Atlanta, Georgia. specializing in SURGICAL ONCOLOGY. They hold the professional credentials MD. They hold a License No. A103820 (CA). The NPI Number for ALYSSA D THROCKMORTON (MD) is 1588711469

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
ALYSSA D THROCKMORTON (MD)
NPI
1588711469
Phone
(901) 227-4068
Address
P.O. BOX 405827
Enumeration Date
4 January 2007
Last Update Date
28 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9018376801
Graduation Year
2002 (24 years ago)
PAC ID
7719059146
Group Practice PAC ID
5193610228
Professional Enrollment ID
I20091030000148
Address ID
TN380047986AT36XXXWAYX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:19State licenses:2Digital endpointsOther names

66 SURGICAL ONCOLOGY in TN

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Provider Addresses for ALYSSA D THROCKMORTON (MD)

  • P.O. BOX 405827

    ATLANTA, GA 303845827

    Phone: (901) 227-4068

    Fax: (901) 227-8591

    Type: Mailing

  • 6215, Humphreys Boulevard, Memphis, Shelby County, West Tennessee, Tennessee, 38120, United States

    SUITE 208

    MEMPHIS, TN 38120

    Phone: (901) 227-8950

    Fax: (901) 227-8951

    Type: Location

  • 7205 WOLF RIVER BLVD STE 200

    GERMANTOWN, TN 381381777

    Phone: (901) 227-8950

    Fax: (901) 227-8951

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $115.

Total Amount is formed as General ($115) + Research ($0) + Ownership ($0) = $115.

Last reported payment date: 2024-08-30 • Largest payer in this snapshot: Sirius Medical Systems ($63).

Total Amount

$115

General + Research + Ownership

Payments

3

Total payment records

General Amount

$115

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-30

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: 2009-10-30

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
I20091030000148ISurgical OncologyTNTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes136127$0
76098X-ray of surgical specimen6257$0
19301Partial removal of breast3935$0
99214Established patient office or other outpatient visit, 30-39 minutes3936$0
99205New patient office or other outpatient visit, 60-74 minutes3636$0
View full utilization report →

Insurance plans in this area (ZIP 30384)

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Provider's Procedures

ALYSSA D THROCKMORTON (MD) performs procedures in SURGICAL ONCOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
SURGICAL ONCOLOGYTN19301Partial removal of breast3636
SURGICAL ONCOLOGYTN38900Lymph node imaging during surgery3029

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: 5193610228View full group profile
NameSpecialtyState
Osteopathic Manipulative MedicineNY
H E M A T O L O G Y/ O N C O L O G YTN
Family PracticeMS
Nurse PractitionerGA
Family PracticeGA
Nurse PractitionerMS
Internal MedicineAR
Internal MedicineGA
Nurse PractitionerTN
Internal MedicineTN

Reviews

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Frequently asked questions

What is the standard ID for ALYSSA D THROCKMORTON (MD) in the U.S.?
In the U.S., ALYSSA D THROCKMORTON (MD) is identified by NPI 1588711469.
Is ALYSSA D THROCKMORTON (MD) currently accepting referrals based on NPI status?
Registry metadata lists ALYSSA D THROCKMORTON (MD) as active.
What type of care does ALYSSA D THROCKMORTON (MD) provide?
ALYSSA D THROCKMORTON (MD)'s profile centers on Surgery Physician. Clinical services aligned with this taxonomy classification.
Is ALYSSA D THROCKMORTON (MD) tied to Atlanta, Georgia?
If you are local to Atlanta, Georgia, ALYSSA D THROCKMORTON (MD) may be relevant to your search.
Can I export ALYSSA D THROCKMORTON (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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