GEORGIA UROLOGY, PA - NPI 1083268783

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

The NPI number for Georgia Urology, PA is 1083268783. It was assigned to this organization in the NPPES registry on July 31, 2019.

Q: What is Georgia Urology, PA's specialty?

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

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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 1083268783) is a healthcare organization registered as an urology in Athens, Georgia and active in the NPI registry since July 2019. The organization holds a CLIA Waiver certificate valid through March 26, 2028 and lists Dan Fellner, Ceo, as its authorized official.

NPPES Registry Identity

NPI1083268783

Entity TypeOrganization

Primary Taxonomy208800000X

Legal Business NameGEORGIA UROLOGY, PA

Location Address120 TRINITY PLAthens, GA 30607-2100

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

Phone(404) 252-5206

Organization SubpartYesParent: Georgia Urology Pa

Authorized OfficialDan FellnerCeo · (678) 205-8360

Enumeration DateJuly 31, 2019

Last NPPES UpdateMay 6, 20262 updates tracked since enumeration

NPPES CertifiedMay 6, 2026

✔ NPI 1083268783 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.

120 TRINITY PL, Athens, GA 30607

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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 of Waiver 11D2146264

Georgia Urology Forsyth · Cumming, GA

Active · expires Mar 26, 2028

CLIA Number11D2146264

Laboratory TypePhysician Office

Certificate Effective DateMarch 27, 2026

Certificate Expiration DateMarch 26, 2028

Laboratory DirectorMichael Garcia-Riog

Laboratory Phone(404) 252-5206

Laboratory LocationGeorgia Urology Forsyth4151 Deputy Bill Cantrell Memorial Rd, Suite 140, 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 9

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

MARIE B ANDERSON P.A.

Physician Assistant