GEORGIA UROLOGY PA
NPI 1063637254
Urology in Atlanta, GA

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

The NPI number for Georgia Urology PA is 1063637254. It was assigned to this organization in the NPPES registry on April 15, 2007.

Q: What is Georgia Urology PA's specialty?

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

Active since April 15, 2007CLIA 11D1020143 · Microscopy

550 PEACHTREE ST NE, SUITE 1150, ATLANTA, GA 30308(404) 222-0292(404) 222-0452 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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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 1063637254) is a healthcare organization registered as an urology in Atlanta, Georgia and active in the NPI registry since April 2007. The organization holds a CLIA Microscopy certificate valid through December 11, 2027 and lists Dan Fellner, Ceo, as its authorized official.

NPPES Registry Identity

NPI1063637254

Entity TypeOrganization

Primary Taxonomy208800000X

Legal Business NameGEORGIA UROLOGY PA

Location Address550 PEACHTREE ST NE, SUITE 1150Atlanta, GA 30308-2247

Mailing Address1930 Brannan RdMcdonough, GA 30253-4310 · (678) 284-4040 · Fax (678) 284-4076

Phone(404) 222-0292

Fax(404) 222-0452

Organization SubpartYes

Authorized OfficialDan FellnerCeo · (678) 205-8360

Enumeration DateApril 15, 2007

Last NPPES UpdateMay 6, 2026

NPPES CertifiedMay 6, 2026

✔ NPI 1063637254 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.

550 PEACHTREE ST NE, Atlanta, GA 30308

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Other Identifiers 1

Other11D1020143GA · Clia

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) 11D1020143

Georgia Urology - Midtown · Atlanta, GA

Active · expires Dec 11, 2027

CLIA Number11D1020143

Laboratory TypePhysician Office

Certificate Effective DateDecember 12, 2025

Certificate Expiration DateDecember 11, 2027

Laboratory DirectorWalter Z. Falconer

Laboratory Phone(404) 222-0292

Laboratory LocationGeorgia Urology - Midtown1110 West Peachtree Street, NW, Suite 1020, Atlanta, GA 30309

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.

DR. DOMINIC JOSEPH PAPANDRIA M.D.

Surgery