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

Active since September 21, 2011CLIA Certified · 7 labs
1557 JANMAR RD, SNELLVILLE, GA 30078(678) 344-8900(678) 666-5201 Get Directions Write a Review

NPPES record last updated: January 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 2, 2025, May 11, 2023, Sep 12, 2022 and 3 more (6 updates tracked since 2016).

About Advanced Urology Institute Of Georgia NPPES

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

ADVANCED UROLOGY INSTITUTE OF GEORGIA (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 7 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
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 UpdateJanuary 2, 20256 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2025
✔ 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 ›

CLIA Laboratory Certificates CMS CLIA 8

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 11D2175880

Advanced Urology Institute Of Georgia, PC · Atlanta, GA
Active · expires Dec 3, 2027
CLIA Number11D2175880
Laboratory TypePhysician Office
Certificate Effective DateDecember 4, 2025
Certificate Expiration DateDecember 3, 2027
Laboratory DirectorJitesh Patel
Laboratory Phone(678) 344-8900
Laboratory LocationAdvanced Urology Institute Of Georgia, PC1800 Peachtree Stsreet, NE, Suite 700, Atlanta, GA 30309
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2174532

Advanced Urology Institute Of Georgia, PC · Marietta, GA
Active · expires Nov 4, 2027
CLIA Number11D2174532
Laboratory TypePhysician Office
Certificate Effective DateNovember 5, 2025
Certificate Expiration DateNovember 4, 2027
Laboratory DirectorJitesh V. Patel
Laboratory Phone(678) 344-8900
Laboratory LocationAdvanced Urology Institute Of Georgia, PC1371 Church Street Ext, Suite 200, Marietta, GA 30060
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.

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.

JASON R CASEY FNP
Nurse Practitioner
1557 JANMAR RD
SNELLVILLE, GA 30078
Gwinnett County (678) 344-8900
NAVEEN KUMAR ARORA M.D.
Urology
1557 JANMAR RD
SNELLVILLE, GA 30078
Gwinnett County (678) 344-8900
MRS. KATHERINE BONE CRNA
Nurse Anesthetist, Certified Registered
1557 JANMAR RD
SNELLVILLE, GA 30078
Gwinnett County (678) 666-5201
NATASHA MORA
Physician Assistant (Surgical)
1557 JANMAR RD
SNELLVILLE, GA 30078
Gwinnett County (678) 344-8900
KEVEN KELLER CRNA
Nurse Anesthetist, Certified Registered
1557 JANMAR RD
SNELLVILLE, GA 30078
Gwinnett County (678) 344-8900
LAUREN TYMCHUK
Physician Assistant (Surgical)
1557 JANMAR RD
SNELLVILLE, GA 30078
Gwinnett County (404) 620-6159
DR. MICHAEL D FUNDERBURK MD
Urology
1557 JANMAR RD
SNELLVILLE, GA 30078
Gwinnett County (678) 344-8900
MRS. VICTORIA BROOKE LIVELY CSFA
Specialist/Technologist, Other (Surgical Assistant)
1557 JANMAR RD
SNELLVILLE, GA 30078
Gwinnett County (770) 841-6911

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's NPI number?

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

Where is Advanced Urology Institute Of Georgia located?

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

What is Advanced Urology Institute Of Georgia's specialty?

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

Does Advanced Urology Institute Of Georgia hold CLIA laboratory certificates?

Yes. 7 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 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 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 was last updated on January 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.