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GEORGIA UROLOGY PA
NPI 1073028643
Urology in Cumming, GA

Active since December 05, 2017
4150 DEPUTY BILL CANTRELL MEMORIAL ROAD, SUITE 140B, CUMMING, GA 30040(770) 889-9737 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, Dec 5, 2017 (2 updates tracked since 2017).

About Georgia Urology Pa NPPES

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

GEORGIA UROLOGY PA (NPI 1073028643), doing business as Georgia Urology, Pa, is a healthcare organization registered as an urology in Cumming, Georgia and active in the NPI registry since December 2017. The organization lists Dan Fellner, Ceo, as its authorized official.

NPPES Registry Identity

NPI1073028643
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameGEORGIA UROLOGY PA
Location Address4150 DEPUTY BILL CANTRELL MEMORIAL ROAD, SUITE 140BCumming, GA 30040
Mailing Address1930 Brannan RdMcdonough, GA 30253-4310
Phone(770) 889-9737
Organization SubpartYes
Authorized OfficialDan FellnerCeo · (678) 205-8360
Enumeration DateDecember 5, 2017
Last NPPES UpdateMay 6, 20262 updates tracked since enumeration
NPPES CertifiedMay 6, 2026
✔ NPI 1073028643 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.
4150 DEPUTY BILL CANTRELL MEMORIAL ROAD, Cumming, GA 30040
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Other Names 1

Doing Business AsGeorgia Urology, Pa

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

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. ALYSSA JORDAN FISCHER AUD
Audiologist
4150 DEPUTY BILL CANTRELL MEMORIAL ROAD, UNIT 260
CUMMING, GA 30040
Forsyth County (770) 292-3045
JESSICA SUMMERS RBT
Behavior Technician
4150 DEPUTY BILL CANTRELL MEMORIAL ROAD, SUITE T200
CUMMING, GA 30040
Forsyth County (470) 839-3041
RACHEL RINALDI BCBA, MS
Behavior Analyst
4150 DEPUTY BILL CANTRELL MEMORIAL ROAD, SUITE T200
CUMMING, GA 30040
Forsyth County (470) 839-3041
DR. PALLAVI ARCHANA KUMBLA MD
Plastic Surgery
4150 DEPUTY BILL CANTRELL MEMORIAL ROAD, SUITE 240
CUMMING, GA 30040
Forsyth County (678) 931-8874
HALLIE RADLER RBT
Behavior Technician
4150 DEPUTY BILL CANTRELL MEMORIAL ROAD
CUMMING, GA 30040
Forsyth County (470) 839-3041
SOPHIA HUCK RBT
Behavior Technician
4150 DEPUTY BILL CANTRELL MEMORIAL ROAD, SUITE T200
CUMMING, GA 30040
Forsyth County (470) 839-3041
ALEXIS JOVANN MENDEZ MA, BCBA
Behavior Analyst
4150 DEPUTY BILL CANTRELL MEMORIAL ROAD, SUITE T200
CUMMING, GA 30040
Forsyth County (470) 839-3041
PARKER CHASE RIGSBY PT, DPT
Physical Therapist
4150 DEPUTY BILL CANTRELL MEMORIAL ROAD, SUITE 350
CUMMING, GA 30040
Forsyth County (678) 341-6790

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 1073028643. It was assigned to this organization in the NPPES registry on December 5, 2017. The provider is doing business as Georgia Urology, PA.

Where is Georgia Urology PA located?

Georgia Urology PA is located at 4150 Deputy Bill Cantrell Memorial Road Suite 140B, Cumming, GA 30040. The listed phone number is (770) 889-9737.

What is Georgia Urology PA's specialty?

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

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 3 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.