Individual provider Active NPI

Alan Herline, MD

  • Colon & Rectal Surgery Physician
  • Marietta, GA
National Provider Identifier
1174622518
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
074669 Issued in GA
Practice address
780 Canton Rd NE Ste 250
Marietta, GA 30060-8928
Phone
(943) 202-8090
Fax
(470) 986-7227
NPI assigned
Sep 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X ME135852 FL
Colon & Rectal Surgery Physician 208C00000X 074669 GA Primary
Surgery Physician 208600000X ME135852 FL
Surgery Physician 208600000X 074669 GA

Addresses

Primary practice location

780 Canton Rd NE Ste 250
Marietta, GA 30060-8928

Mailing address

780 Canton Rd NE Ste 250
Marietta, GA 30060-8928
Phone (943) 202-8090

Other practice location 1

601 N Flamingo Rd Ste 408
Pembroke Pines, FL 33028
Phone (954) 844-1617

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aherline196603@MHSDIRECT.NET Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20151007003386 GA Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 2365578713 Reassigns benefits to 2 organizations
I20190208001787 FL Practitioner - Colorectal Surgery (Proctology) 2365578713 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)
Education
Medical College of Georgia School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Broward Hospital DistrictGroup PAC ID 8123927373, 659 clinicians
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians

Practice addresses (Care Compare)

20801 Biscayne Blvd
Suite 203
Aventura, FL 33180-1492
Phone (954) 265-0072

4900 Ivey NWRD
Suite 1826
Acworth, GA 30101-4142
Phone (770) 975-9077

5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222

601 N Flamingo Rd
Pembroke Pines, FL 33028-1012

625 Church Nest
Marietta, GA 30060-1101
Phone (770) 422-2004

677 Church Nest
Marietta, GA 30060-1101

677 Church St NE
Suite 100P
Marietta, GA 30060-1101
Phone (470) 793-8585

780 Canton Rd NE
Marietta, GA 30060-8928

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
074669GAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Au Medical Associates Inc CurrentSince Aug 1, 2015 Accepting new patients
South Broward Hospital District Surgery CurrentSince Sep 18, 2018 Accepting new patients
Au Medical Associates Inc CurrentSince Aug 1, 2015 Accepting new patients
South Broward Hospital District CurrentSince Sep 18, 2018 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Dec 1, 2025 Accepting new patients
Wellstar Cardiovascular Medicine, LLC Past Accepting new patients

Locations

20801 Biscayne Blvd
Ste 203
Aventura, FL 33180
Phone (305) 682-2580

2900 Corporate Way
#D
Miramar, FL 33025
Phone (954) 276-5581

3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000

601 N Flamingo Rd
Ste 408
Pembroke Pnes, FL 33028
Phone (954) 265-3015

4900 Ivey Rd NW
Ste 1826
Acworth, GA 30101
Phone (770) 975-9077

1120 15th St
Augusta, GA 30912
Phone (706) 721-3873

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

780 Canton Rd NE
Ste 250
Marietta, GA 30060
Phone (470) 610-0145

Interoperability endpoints

  • Direct secure messaging: aherline196603@mhsdirect.net

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1174622518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 CANTON RD NE STE 250",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300608928",
            "telephone_number": "943-202-8090",
            "fax_number": "470-986-7227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 CANTON RD NE STE 250",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300608928",
            "telephone_number": "943-202-8090",
            "fax_number": "470-986-7227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 N Flamingo Rd Ste 408",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "33028",
            "country_code": "US",
            "telephone_number": "954-844-1617",
            "fax_number": "954-450-8584",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERLINE",
        "first_name": "ALAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "FL",
            "license": "ME135852",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "GA",
            "license": "074669",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME135852",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "074669",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aherline196603@MHSDIRECT.NET",
            "affiliation": "N",
            "endpointDescription": "MHS DSM",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "601 N Flamingo Rd Ste 408",
            "city": "Pembroke Pines",
            "state": "FL",
            "country_code": "US",
            "postal_code": "33028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.