ALYSSA M DHANANI (PA-C) – Medical Physician Assistant, NPI 1124780622
Medical Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ALYSSA M DHANANI (PA-C)
3225 CUMBERLAND BLVD SE STE 520
ATLANTA, GA 303396407
Phone: (678) 915-2000
Fax: (404) 868-3363
Type: Mailing
1975 Lakeside Pkwy Ste 300
Tucker, GA 300845860
Phone: (678) 915-2000
Fax: (678) 915-2000
Type: Location
1035 Southcrest Dr Ste And250
Stockbridge, GA 302816118
Phone: (678) 915-2000
Type: Location
1025 VETERANS MEMORIAL HWY SE STE 720
MABLETON, GA 301267794
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $3,686.
Total Amount is formed as General ($3,686) + Research ($0) + Ownership ($0) = $3,686.
Last reported payment date: 2024-12-31 • Largest payer in this snapshot: AngioDynamics, Inc. ($3,250).
Total Amount
$3,686
General + Research + Ownership
Payments
10
Total payment records
General Amount
$3,686
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-31
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2021-11-18
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 |
|---|---|---|---|---|
| I20211118001455 | I | Physician Assistant | GA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 104 | 11 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 63 | 61 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 56 | 28 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 56 | 56 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 49 | 46 | $0 |
Insurance plans in this area (ZIP 30339)
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