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NORTH GEORGIA UROLOGY CENTER
NPI 1033580295
Urology in Dalton, GA

Active since October 14, 2015CLIA 11D1010236 · Certificate of Compliance
1434 BROADRICK DR, DALTON, GA 30720(706) 278-5961(706) 275-0280 Get Directions Write a Review

NPPES record last updated: October 14, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About North Georgia Urology Center NPPES

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

NORTH GEORGIA UROLOGY CENTER (NPI 1033580295) is a healthcare organization registered as an urology in Dalton, Georgia and active in the NPI registry since October 2015. The organization holds a CLIA Certificate of Compliance certificate valid through November 18, 2027 and lists Heather Oaks, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1033580295
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameNORTH GEORGIA UROLOGY CENTER
Location Address1434 BROADRICK DRDalton, GA 30720-3009
Mailing Address1434 Broadrick DrDalton, GA 30720-3009 · (706) 278-5961 · Fax (706) 275-0280
Phone(706) 278-5961
Fax(706) 275-0280
Organization SubpartNo
Authorized OfficialHeather OaksOffice Manager · (706) 278-5961
Enumeration DateOctober 14, 2015
✔ NPI 1033580295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in GA · 050482
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.
1434 BROADRICK DR, Dalton, GA 30720
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Other Identifiers 1

OtherGRP6470GA · Ptan

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

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 of Compliance 11D1010236

North Georgia Urology Center · Dalton, GA
Active · expires Nov 18, 2027
CLIA Number11D1010236
Laboratory TypePhysician Office
Certificate Effective DateNovember 19, 2025
Certificate Expiration DateNovember 18, 2027
Laboratory DirectorCharles B. Idom
Laboratory Phone(706) 278-5961
Laboratory LocationNorth Georgia Urology Center1434 Broadrick Drive, Dalton, GA 30720
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 3

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

MS. DENISE RENE WHITE PA-C
Physician Assistant
1434 BROADRICK DR
DALTON, GA 30720
Whitfield County (706) 278-5961
DR. CHARLES B IDOM JR. M.D., FACS
Urology
1434 BROADRICK DR
DALTON, GA 30720
Whitfield County (706) 278-5961
DR. JOSEPH ANTHONY VEYS MD
Urology
1434 BROADRICK DR
DALTON, GA 30720
Whitfield County (706) 278-5961

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 North Georgia Urology Center's NPI number?

The NPI number for North Georgia Urology Center is 1033580295. It was assigned to this organization in the NPPES registry on October 14, 2015.

Where is North Georgia Urology Center located?

North Georgia Urology Center is located at 1434 Broadrick Dr, Dalton, GA 30720. The listed phone number is (706) 278-5961.

What is North Georgia Urology Center's specialty?

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

Does North Georgia Urology Center hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 11D1010236) is associated with this NPI, valid through November 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for North Georgia Urology Center was last updated on October 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.