1. Home
  2. Directory
  3. Georgia
  4. Snellville
  5. Urology
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ADVANCED UROLOGY INSTITUTE OF GEORGIA, LLC
NPI 1073896510
Urology in Snellville, GA

Active since September 21, 2011CLIA Certified · 5 labs
1557 JANMAR RD, SNELLVILLE, GA 30078(678) 344-8900(678) 666-5201 Get Directions Write a Review

NPPES record last updated: September 18, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 18, 2026, Jan 2, 2025, May 11, 2023 and 4 more (7 updates tracked since 2016).

About Advanced Urology Institute Of Georgia, Llc NPPES

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

ADVANCED UROLOGY INSTITUTE OF GEORGIA, LLC (NPI 1073896510) is a healthcare organization registered as an urology in Snellville, Georgia and active in the NPI registry since September 2011. The organization holds 5 active CLIA laboratory certificates and lists Beemal Shah, Ceo, as its authorized official.

NPPES Registry Identity

NPI1073896510
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameADVANCED UROLOGY INSTITUTE OF GEORGIA, LLC
Location Address1557 JANMAR RDSnellville, GA 30078-5686
Mailing Address1551 Janmar RdSnellville, GA 30078-5606 · (678) 344-8900 · Fax (678) 666-5201
Phone(678) 344-8900
Fax(678) 666-5201
Organization SubpartNo
Authorized OfficialBeemal ShahCeo · (706) 951-8657
Enumeration DateSeptember 21, 2011
Last NPPES UpdateSeptember 18, 20267 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2026
✔ NPI 1073896510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in GA · 65869
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.
1557 JANMAR RD, 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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.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)

Advanced Urology Institute Of Georgia, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

95

Medicare enrollment records show 95 clinicians reassign Medicare billing to Advanced Urology Institute Of Georgia, LLC, which bills Medicare for the services they deliver. Of these, 11 practice at this address and 16 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Certified Registered Nurse Anesthetist (CRNA)61
Urology24
Nurse Practitioner5
Interventional Radiology4
Diagnostic Radiology1

Nearest to this location (20)

See all 95
Katherine Bone, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1093189409
1557 JANMAR RD
Snellville, GA 30078
(678) 666-5201
✔ Accepts MedicareSame address
Epris Cooper, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1568842201
1557 JANMAR RD
Snellville, GA 30078
(678) 344-8900
✔ Accepts MedicareSame address
Katherine Keller, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1750703260
1557 JANMAR RD
Snellville, GA 30078
(678) 344-8900
✔ Accepts MedicareSame address
Keven Keller, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1194148494
1557 JANMAR RD
Snellville, GA 30078
(678) 344-8900
✔ Accepts MedicareSame address
Amy Kingry, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1477558021
1557 JANMAR RD
Snellville, GA 30078
(678) 344-4890
Same address
Abhijith Mally, M.D.
Urology
NPI 1609030014
1557 JANMAR RD
Snellville, GA 30078
(678) 344-8900
✔ PECOS✔ Accepts MedicareSame address
John Ohanu
Certified Registered Nurse Anesthetist (CRNA)
NPI 1487196705
1557 JANMAR RD
Snellville, GA 30078
(678) 344-8900
✔ Accepts MedicareSame address
Krina Patel
Nurse Practitioner
NPI 1659292316
1557 JANMAR RD
Snellville, GA 30078
(404) 620-6159
✔ PECOSSame address
Vikram Sabarwal
Urology
NPI 1801215983
1557 JANMAR RD
Snellville, GA 30078
(678) 344-8900
✔ PECOS✔ Accepts MedicareSame address
Moshe Shapiro, MD
Urology
NPI 1417290974
1557 JANMAR RD
Snellville, GA 30078
(678) 344-8900
✔ PECOS✔ Accepts MedicareSame address
Donna Sieber, C.R.N.A.
Certified Registered Nurse Anesthetist (CRNA)
NPI 1396067534
1557 JANMAR RD
Snellville, GA 30078
(678) 344-8900
Same address
Erin Favinger
Nurse Practitioner
NPI 1407551880
1555 JANMAR RD
Snellville, GA 30078
(404) 620-6159
✔ PECOS✔ Accepts Medicare0.1 mi
Jitesh Patel, M.D.
Urology
NPI 1265640486
1555 JANMAR RD
Snellville, GA 30078
(678) 344-8900
✔ PECOS✔ Accepts Medicare0.1 mi
Mukesh Patel, MD
Urology
NPI 1508825183
501 CROWNPOINTE WAY
Lawrenceville, GA 30046
(678) 344-8900
✔ PECOS✔ Accepts Medicare4.0 mi
Amanda Hickerson, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1295158541
1000 MEDICAL CENTER BLVD
Lawrenceville, GA 30046
(770) 277-3056
5.4 mi
Courtney Lowery, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1396900189
1000 MEDICAL CENTER BLVD
Lawrenceville, GA 30046
(678) 312-1000
5.5 mi
Laura Reichwald, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1588601363
1455 MONTREAL RD
Tucker, GA 30084
(865) 985-7253
✔ Accepts Medicare14 mi
Nicholas Farber, MD
Urology
NPI 1952716730
10730 MEDLOCK BRIDGE RD
Johns Creek, GA 30097
(678) 344-8900
✔ PECOS✔ Accepts Medicare15 mi
Diane Spiva, CRNP
Nurse Practitioner
NPI 1578632808
10730 MEDLOCK BRIDGE RD STE 110
Johns Creek, GA 30097
(678) 344-8900
✔ PECOS15 mi
Jacinto Camarena, MD
Interventional Radiology
NPI 1790791804
2711 IRVIN WAY SUITE 102
Decatur, GA 30030
(678) 344-8900
✔ PECOS✔ Accepts Medicare17 mi
See all 95 clinicians

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 5

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 Waiver 11D2054526

Advanced Urology Institute Of Georgia, PC · Snellville, GA
Active · expires Feb 24, 2027
CLIA Number11D2054526
Laboratory TypePhysician Office
Certificate Effective DateFebruary 25, 2025
Certificate Expiration DateFebruary 24, 2027
Laboratory DirectorDr. Jitesh V. Patel
Laboratory Phone(678) 344-8900
Laboratory LocationAdvanced Urology Institute Of Georgia, PC1557 Janmar Road, Suite 100, Snellville, GA 30078
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2150689

Advanced Urology Institute Of Georgia PC Sandy Springs · Atlanta, GA
Active · expires Jul 1, 2028
CLIA Number11D2150689
Laboratory TypePhysician Office
Certificate Effective DateJuly 2, 2026
Certificate Expiration DateJuly 1, 2028
Laboratory DirectorJitesh V. Patel
Laboratory Phone(678) 344-8900
Laboratory LocationAdvanced Urology Institute Of Georgia PC Sandy Springs1450 S Johnson Ferry Road, NE, Suite 100, Atlanta, GA 30319
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2338686

Advanced Urology Institute Of Georgia, PC · Dallas, GA
Active · expires Feb 15, 2028
CLIA Number11D2338686
Laboratory TypePhysician Office
Certificate Effective DateFebruary 16, 2026
Certificate Expiration DateFebruary 15, 2028
Laboratory DirectorJason Lomboy
Laboratory Phone(678) 344-8900
Laboratory LocationAdvanced Urology Institute Of Georgia, PC2713 Charles Hardy Parkway, Bldg 100, Suite 122, Dallas, GA 30157
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2327216

Advanced Urology Institute Of Georgia, PC · Cumming, GA
Active · expires Jul 17, 2027
CLIA Number11D2327216
Laboratory TypePhysician Office
Certificate Effective DateJuly 18, 2025
Certificate Expiration DateJuly 17, 2027
Laboratory DirectorKushan D. Radadia
Laboratory Phone(678) 344-8900
Laboratory LocationAdvanced Urology Institute Of Georgia, PC4150 Deputy Bill Cantrell Memorial Road, Suite 180, Cumming, GA 30040
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2318645

Advanced Urology Institute Of Georgia, PC · Jasper, GA
Active · expires Feb 13, 2027
CLIA Number11D2318645
Laboratory TypePhysician Office
Certificate Effective DateFebruary 14, 2025
Certificate Expiration DateFebruary 13, 2027
Laboratory DirectorChirag Dave
Laboratory Phone(678) 344-8900
Laboratory LocationAdvanced Urology Institute Of Georgia, PC49 Gordon Road, Suite 103, Jasper, GA 30143
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Advanced Urology Institute Of Georgia, LLC's NPI number?

The NPI number for Advanced Urology Institute Of Georgia, LLC is 1073896510. It was assigned to this organization in the NPPES registry on September 21, 2011.

Where is Advanced Urology Institute Of Georgia, LLC located?

Advanced Urology Institute Of Georgia, LLC is located at 1557 Janmar Rd, Snellville, GA 30078. The listed phone number is (678) 344-8900.

What is Advanced Urology Institute Of Georgia, LLC's specialty?

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

Is Advanced Urology Institute Of Georgia, LLC enrolled in Medicare?

Yes. Advanced Urology Institute Of Georgia, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Urology Institute Of Georgia, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 95 clinicians in 5 Medicare specialties reassign their Medicare billing to Advanced Urology Institute Of Georgia, LLC. 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 Certified Registered Nurse Anesthetist (CRNA) (61), Urology (24) and Nurse Practitioner (5). Of these, 11 practice at this address and 16 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Advanced Urology Institute Of Georgia, LLC hold CLIA laboratory certificates?

Yes. 5 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Advanced Urology Institute Of Georgia, LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Advanced Urology Institute Of Georgia, LLC 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 Advanced Urology Institute Of Georgia, LLC was last updated on September 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 days 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.