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GEORGIA UROLOGY, PA
NPI 1023837135
Urology in Toccoa, GA

Active since October 07, 2024CLIA Certified · 3 labs

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 6, 2026, Oct 7, 2024 (2 updates tracked since 2024).

About Georgia Urology, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GEORGIA UROLOGY, PA (NPI 1023837135) is a healthcare organization registered as an urology in Toccoa, Georgia and active in the NPI registry since October 2024. The organization holds 3 active CLIA laboratory certificates and lists Dan Fellner, Ceo, as its authorized official.

NPPES Registry Identity

NPI1023837135
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameGEORGIA UROLOGY, PA
Location Address58 BIG A RDToccoa, GA 30577-6017
Mailing Address1930 Brannan RdMcdonough, GA 30253-4310 · (678) 284-4040
Phone(770) 219-8765
Organization SubpartYes
Authorized OfficialDan FellnerCeo · (678) 205-8360
Enumeration DateOctober 7, 2024
Last NPPES UpdateMay 6, 20262 updates tracked since enumeration
NPPES CertifiedMay 6, 2026
✔ NPI 1023837135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
58 BIG A RD, Toccoa, GA 30577
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 11D2317756

Georgia Urology - Toccoa · Toccoa, GA
Active · expires Jan 29, 2027
CLIA Number11D2317756
Laboratory TypePhysician Office
Certificate Effective DateJanuary 30, 2025
Certificate Expiration DateJanuary 29, 2027
Laboratory DirectorBrent Sharpe
Laboratory Phone(770) 219-8765
Laboratory LocationGeorgia Urology - Toccoa58 Big A Road, Toccoa, GA 30577
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 11D2314899

Georgia Urology Buford · Toccoa, GA
Active · expires Dec 2, 2026
CLIA Number11D2314899
Laboratory TypePhysician Office
Certificate Effective DateDecember 3, 2024
Certificate Expiration DateDecember 2, 2026
Laboratory DirectorBrent Sharpe
Laboratory Phone(770) 219-8765
Laboratory LocationGeorgia Urology Buford58 Big A Road, Toccoa, GA 30577
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 11D2314900

Georgia Urology Buford · Buford, GA
Active · expires Dec 2, 2026
CLIA Number11D2314900
Laboratory TypePhysician Office
Certificate Effective DateDecember 3, 2024
Certificate Expiration DateDecember 2, 2026
Laboratory DirectorBrent Sharpe
Laboratory Phone(770) 219-8765
Laboratory LocationGeorgia Urology Buford4745 Nelson Brogdon Boulevard, Suite 300, Buford, GA 30518
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. DAVID L QUINN PA-C
Physician Assistant (Medical)
58 BIG A RD
TOCCOA, GA 30577
Stephens County (706) 827-2607
MRS. KANDI LAUREN WILLIS PA
Physician Assistant
58 BIG A RD
TOCCOA, GA 30577
Stephens County (706) 827-2607
DR. KYLER GATOR HAZELETT PHARMD
Pharmacist (Ambulatory Care)
58 BIG A RD
TOCCOA, GA 30577
Stephens County (706) 886-3148
MISTY HOLLOWAY BRYANT FNP
Nurse Practitioner (Family)
58 BIG A RD
TOCCOA, GA 30577
Stephens County (706) 827-2607
TRACI COYNE FNP-C
Nurse Practitioner (Family)
58 BIG A RD
TOCCOA, GA 30577
Stephens County (706) 886-3169
MRS. CRYSTAL KERSEY COTRELL PA-C
Physician Assistant
58 BIG A RD
TOCCOA, GA 30577
Stephens County (706) 282-4200
TRAVIS WELDON DOBBS FNP
Nurse Practitioner (Family)
58 BIG A RD
TOCCOA, GA 30577
Stephens County (706) 886-6819
THOMAS DAVID YATES MD
Internal Medicine
58 BIG A RD
TOCCOA, GA 30577
Stephens County (706) 886-6819

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Georgia Urology, PA's NPI number?

The NPI number for Georgia Urology, PA is 1023837135. It was assigned to this organization in the NPPES registry on October 7, 2024.

Where is Georgia Urology, PA located?

Georgia Urology, PA is located at 58 Big A Rd, Toccoa, GA 30577. The listed phone number is (770) 219-8765.

What is Georgia Urology, PA's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Does Georgia Urology, PA hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Georgia Urology, PA was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.