GEORGIA UROLOGY PA
NPI 1104294743
Urology in Atlanta, GA
NPI Status: Active since September 14, 2015
Contact Information
5730 GLENRIDGE DR
STE 200
ATLANTA, GA
ZIP 30328
Phone: (404) 256-1844
Fax: (404) 252-5642
- Organization
- Urology
- CLIA Number: 11D2139250
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 11-02-2027
About GEORGIA UROLOGY PA
This page provides the complete NPI Profile along with additional information for Georgia Urology Pa, a provider established in Atlanta, Georgia operating as a Urology. The healthcare provider is registered in the NPI registry with number 1104294743 assigned on September 2015. The practitioner's primary taxonomy code is 208800000X. The provider is registered as an organization and their NPI record was last updated May 2026. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dan Fellner (Ceo)
- NPI
- 1104294743
- Provider Name
- GEORGIA UROLOGY PA
- Entity Type
- Organization
- Location Address
- 5730 GLENRIDGE DR STE 200 ATLANTA, GA 30328
- Location Phone
- (404) 256-1844
- Location Fax
- (404) 252-5642
- Mailing Address
- 1930 BRANNAN RD MCDONOUGH, GA 30253
- Mailing Phone
- (678) 284-4040
- Mailing Fax
- (404) 252-5642
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 09-14-2015
- Last Update Date
- 05-06-2026
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Urology
- Taxonomy Code
- 208800000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 11D2139250
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- November 03, 2025
- Certificate Expiration Date
- November 02, 2027
- Laboratory Director
- LEWIS KRITEMAN
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Georgia Urology Pa in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1104294743, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 67 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 8 providers are registered at the same or a nearby location.
ATLANTA, GA 30328
ATLANTA, GA 30328
SANDY SPRINGS, GA 30328
SANDY SPRINGS, GA 30328
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104294743, enumerated as an "organization" on September 14, 2015.
The provider is located at 5730 GLENRIDGE DR STE 200 ATLANTA, GA 30328 and the phone number is (404) 256-1844.
Urology with taxonomy code 208800000X.
