GEORGIA UROLOGY, PA
NPI 1033938147
Urology in Gainesville, GA

Q: What is Georgia Urology, PA's NPI number?

The NPI number for Georgia Urology, PA is 1033938147. It was assigned to this organization in the NPPES registry on October 7, 2024.

Q: What is Georgia Urology, PA's specialty?

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

Active since October 07, 2024CLIA 11D2131836 · Microscopy

1315 JESSE JEWELL PKWY NE STE 201, GAINESVILLE, GA 30501(770) 219-8765 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

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About Georgia Urology, Pa NPPES

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

GEORGIA UROLOGY, PA (NPI 1033938147) is a healthcare organization registered as an urology in Gainesville, Georgia and active in the NPI registry since October 2024. The organization holds a CLIA Microscopy certificate valid through June 6, 2027 and lists Dan Fellner, Ceo, as its authorized official.

NPPES Registry Identity

NPI1033938147

Entity TypeOrganization

Primary Taxonomy208800000X

Legal Business NameGEORGIA UROLOGY, PA

Location Address1315 JESSE JEWELL PKWY NE STE 201Gainesville, GA 30501-3811

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 1033938147 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.

1315 JESSE JEWELL PKWY NE STE 201, Gainesville, GA 30501

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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

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) 11D2131836

Georgia Urology - Gainesville · Gainesville, GA

Active · expires Jun 6, 2027

CLIA Number11D2131836

Laboratory TypePhysician Office

Certificate Effective DateJune 7, 2025

Certificate Expiration DateJune 6, 2027

Laboratory DirectorBrent A. Sharpe

Laboratory Phone(678) 284-4062

Laboratory LocationGeorgia Urology - Gainesville961 Smoky Mountain Springs Lane, NE, Gainesville, GA 30501

CLIA data matches this NPI record on: Name

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 8

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

DR. JENNIFER LANZER M.D.

Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)