1. Home
  2. Directory
  3. Georgia
  4. Snellville
  5. Urology
  6. NPI Profile

EASTSIDE UROLOGY
NPI 1073720959
Urology in Snellville, GA

Active since May 17, 2007
2121 FOUNTAIN DR, SUITE D, SNELLVILLE, GA 30078(770) 736-8368(770) 736-8410 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Eastside Urology NPPES

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

EASTSIDE UROLOGY (NPI 1073720959) is a healthcare organization registered as an urology in Snellville, Georgia and active in the NPI registry since May 2007. The organization lists Carolyn L Vickers, Director Of Billing, as its authorized official.

NPPES Registry Identity

NPI1073720959
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameEASTSIDE UROLOGY
Location Address2121 FOUNTAIN DR, SUITE DSnellville, GA 30078-7023
Mailing Address2121 Fountain DrSnellville, GA 30078-7023 · (770) 736-8368 · Fax (770) 736-8410
Phone(770) 736-8368
Fax(770) 736-8410
Organization SubpartNo
Authorized OfficialCarolyn L VickersDirector Of Billing · (770) 736-8368
Enumeration DateMay 17, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1073720959 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.
2121 FOUNTAIN DR, Snellville, GA 30078
Open in Google Maps ↗

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 13

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

MICHAEL S KAPLAN PHD MD PC
Physical Medicine & Rehabilitation
2121 FOUNTAIN DR, STE D
SNELLVILLE, GA 30078
Gwinnett County (410) 744-5133
PHYSICAL REHAB MEDICINE SPECIALISTS LLC
Physical Medicine & Rehabilitation
2121 FOUNTAIN DR, STE D
SNELLVILLE, GA 30078
Gwinnett County (770) 674-4888
DR. SAMUEL BOYD KRIDL PT, DPT
Physical Therapist
2121 FOUNTAIN DR, SUITE E
SNELLVILLE, GA 30078
Gwinnett County (770) 736-3330
GEORGIA MEDICAL ASSOCIATES, PC
Internal Medicine
2121 FOUNTAIN DR, SUITE A
SNELLVILLE, GA 30078
Gwinnett County (770) 985-5202
PIEDMONT EASTSIDE RHEUMATOLOGY, LLC
Internal Medicine (Rheumatology)
2121 FOUNTAIN DR
SNELLVILLE, GA 30078
Gwinnett County (470) 725-9658
KENISE JOY GARDNER RBT
Behavior Technician
2121 FOUNTAIN DR
SNELLVILLE, GA 30078
Gwinnett County (404) 407-5224
MRS. TANYA M HIGH LMT
Homeopath
2121 FOUNTAIN DR, SUITE E
SNELLVILLE, GA 30078
Gwinnett County (404) 659-5909
CHARETTA SHAWNETTE OLIVER PT, DPT
Physical Therapist
2121 FOUNTAIN DR, SUITE E
SNELLVILLE, GA 30078
Gwinnett County (770) 736-3330

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 Eastside Urology's NPI number?

The NPI number for Eastside Urology is 1073720959. It was assigned to this organization in the NPPES registry on May 17, 2007.

Where is Eastside Urology located?

Eastside Urology is located at 2121 Fountain Dr Suite D, Snellville, GA 30078. The listed phone number is (770) 736-8368.

What is Eastside Urology'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 Eastside Urology was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.