Active NPI
Alan Herline, MD
- Colon & Rectal Surgery Physician
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- 074669
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | aherline196603@MHSDIRECT.NET | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 074669 | GA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Au Medical Associates Inc | Current | Accepting new patients | |
| South Broward Hospital District | Surgery | Current | Accepting new patients |
| Au Medical Associates Inc | Current | Accepting new patients | |
| South Broward Hospital District | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | 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
- 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.
-
- Surgery Physician
- Pembroke Pines, FL
- NPI 1669713673
-
- Family Medicine Physician
- Kennesaw, GA
- NPI 1558664003
-
- Multi-Specialty Clinic/Center
- Augusta, GA
- NPI 1841230620
-
- Durable Medical Equipment & Medical Supplies
- Augusta, GA
- NPI 1114574126
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
-
- Home Infusion Therapy Pharmacy
- Miramar, FL
- NPI 1043656614
-
- Cardiovascular Disease Physician
- Marietta, GA
- NPI 1457320319
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Marietta, GA
- NPI 1649248626
-
- General Acute Care Hospital
- Hiram, GA
- NPI 1457329435
-
- General Acute Care Hospital
- Pembroke Pines, FL
- NPI 1134102080
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.