ALBANY UROLOGY CLINIC
NPI 1043383623
Urology in Albany, GA

Active since November 15, 2006CLIA 11D0265772 · Certificate of Compliance
2400 OSLER CT, ALBANY, GA 31707(229) 883-1503 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, Aug 7, 2017 (2 updates tracked since 2017).

About Albany Urology Clinic NPPES

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

ALBANY UROLOGY CLINIC (NPI 1043383623) is a healthcare organization registered as an urology in Albany, Georgia and active in the NPI registry since November 2006. The organization holds a CLIA Certificate of Compliance certificate valid through June 21, 2028 and lists Michael Dukes, Administrator, as its authorized official.

NPPES Registry Identity

NPI1043383623
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameALBANY UROLOGY CLINIC
Location Address2400 OSLER CTAlbany, GA 31707-0205
Mailing Address2400 Osler CtAlbany, GA 31707-0205 · (229) 883-1503
Organization SubpartNo
Authorized OfficialMichael DukesAdministrator · (229) 883-1503
Enumeration DateNovember 15, 2006
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1043383623 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.
2400 OSLER CT, Albany, GA 31707

Other Identifiers 1

Medicaid00016673AGA

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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Albany Urology Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Albany Urology Clinic, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Nurse Practitioner5
Urology4
Internal Medicine1

Clinicians, nearest first (10)

Urology
NPI 1265019368
2400 OSLER CT
Albany, GA 31707
(229) 883-1503
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1811655814
2400 OSLER CT
Albany, GA 31707
(229) 883-1503
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1467447938
2400 OSLER CT
Albany, GA 31707
(229) 883-1503
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1154962348
2400 OSLER CT
Albany, GA 31707
(229) 883-1503
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1114213428
2400 OSLER CT
Albany, GA 31707
(229) 449-1676
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1295926392
2400 OSLER CT
Albany, GA 31707
(229) 883-1503
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1639216344
803 N JACKSON ST
Albany, GA 31701
(229) 435-0832
✔ PECOS✔ Accepts Medicare4.2 mi
Internal Medicine
NPI 1871568303
2400 MOUNT ZION PKWY
Jonesboro, GA 30236
(404) 365-0966
✔ PECOS✔ Accepts Medicare134 mi
Nurse Practitioner
NPI 1770082190
1895 KINGSLEY AVE STE 903
Orange Park, FL 32073
(904) 644-8353
✔ PECOS✔ Accepts Medicare178 mi
Urology
NPI 1982602660
4700 LAS VEGAS BLVD N
Nellis Afb, NV 89191
(702) 653-3064
✔ PECOS1,790 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 11D0265772

Albany Urology Clinic · Albany, GA
Active · expires Jun 21, 2028
CLIA Number11D0265772
Laboratory TypePhysician Office
Certificate Effective DateJune 22, 2026
Certificate Expiration DateJune 21, 2028
Laboratory DirectorDr. Khaled Ajib
Laboratory Phone(229) 883-1503
Laboratory LocationAlbany Urology Clinic2400 Osler Court, Albany, GA 31707
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.

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 Albany Urology Clinic's NPI number?

The NPI number for Albany Urology Clinic is 1043383623. It was assigned to this organization in the NPPES registry on November 15, 2006.

Where is Albany Urology Clinic located?

Albany Urology Clinic is located at 2400 Osler Ct, Albany, GA 31707. The listed phone number is (229) 883-1503.

What is Albany Urology Clinic's specialty?

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

Is Albany Urology Clinic enrolled in Medicare?

Yes. Albany Urology Clinic is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Albany Urology Clinic?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 3 Medicare specialties reassign their Medicare billing to Albany Urology Clinic. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (5), Urology (4) and Internal Medicine (1). Of these, 5 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Albany Urology Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 11D0265772) is associated with this NPI, valid through June 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Albany Urology Clinic accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 29 other insurers list Albany Urology Clinic as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Albany Urology Clinic was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.