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GEORGIA UROLOGY PA
NPI 1104294743
Urology in Atlanta, GA

Active since September 14, 2015CLIA 11D2139250 · Microscopy
5730 GLENRIDGE DR, STE 200, ATLANTA, GA 30328(404) 256-1844(404) 252-5642 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, Feb 27, 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 1104294743) is a healthcare organization registered as an urology in Atlanta, Georgia and active in the NPI registry since September 2015. The organization holds a CLIA Microscopy certificate valid through November 2, 2027 and lists Dan Fellner, Ceo, as its authorized official.

NPPES Registry Identity

NPI1104294743
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameGEORGIA UROLOGY PA
Location Address5730 GLENRIDGE DR, STE 200Atlanta, GA 30328-5579
Mailing Address1930 Brannan RdMcdonough, GA 30253-4310 · (678) 284-4040 · Fax (678) 284-4076
Phone(404) 256-1844
Fax(404) 252-5642
Organization SubpartYes
Authorized OfficialDan FellnerCeo · (678) 205-8360
Enumeration DateSeptember 14, 2015
Last NPPES UpdateMay 6, 20262 updates tracked since enumeration
NPPES CertifiedMay 6, 2026
✔ NPI 1104294743 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.
5730 GLENRIDGE DR, Atlanta, GA 30328
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

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 for Provider-Performed Microscopy Procedures (PPMP) 11D2139250

Georgia Urology - Cumming ASC · Cumming, GA
Active · expires Nov 2, 2027
CLIA Number11D2139250
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateNovember 3, 2025
Certificate Expiration DateNovember 2, 2027
Laboratory DirectorLewis Kriteman
Laboratory Phone(404) 256-1844
Laboratory LocationGeorgia Urology - Cumming ASC4150 Deputy Bill Cantrell Memorial Road, Ste 140A, Cumming, GA 30040
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 8

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

JAMIE D WEISMAN M.D.
Specialist
5730 GLENRIDGE DR, SUITE T-100
ATLANTA, GA 30328
Fulton County (404) 939-9220
MEDICAL DERMATOLOGY SPECIALISTS,PC
Clinic/Center (Medical Specialty)
5730 GLENRIDGE DR, SUITE T-100
SANDY SPRINGS, GA 30328
Fulton County (404) 939-9220
DR. ARMIN VATANI OSKOUEI M.D.
Physical Medicine & Rehabilitation (Pain Medicine)
5730 GLENRIDGE DR, SUITE 230
ATLANTA, GA 30328
Fulton County (678) 752-7246
GEORGIA UROLOGY ROBOTICS
Urology
5730 GLENRIDGE DR, STE 200
ATLANTA, GA 30328
Fulton County (404) 256-1844
DR. MICHAEL STEPHEN WEINSTEIN M.D.
Anesthesiology
5730 GLENRIDGE DR, SUITE 300
ATLANTA, GA 30328
Fulton County (404) 250-1153
GEORGIA UROLOGY PEDIATRIC LLC
Urology (Pediatric Urology)
5730 GLENRIDGE DR, STE 200
ATLANTA, GA 30328
Fulton County (404) 256-1844
MR. JAMES H DEW JR. MD
Ophthalmology
5730 GLENRIDGE DR, SUITE 120
ATLANTA, GA 30328
Fulton County (404) 252-1194
METRO IMAGING SANDY SPRINGS, LLC
Radiology (Diagnostic Radiology)
5730 GLENRIDGE DR, SUITE T-300
SANDY SPRINGS, GA 30328
Fulton County (470) 440-2600

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 1104294743. It was assigned to this organization in the NPPES registry on September 14, 2015.

Where is Georgia Urology PA located?

Georgia Urology PA is located at 5730 Glenridge Dr Ste 200, Atlanta, GA 30328. The listed phone number is (404) 256-1844.

What is Georgia Urology PA's specialty?

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

Does Georgia Urology PA hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 11D2139250) is associated with this NPI, valid through November 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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.