ATLANTIC UROLOGICAL ASSOCIATES P A
NPI 1114148574
Urology in Daytona Beach, FL

Active since May 02, 2007
1620 MASON AVE, SUITE E, DAYTONA BEACH, FL 32117(386) 506-5115 Get Directions Write a Review

NPPES record last updated: February 14, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Atlantic Urological Associates P A NPPES

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

ATLANTIC UROLOGICAL ASSOCIATES P A (NPI 1114148574) is a healthcare organization registered as an urology in Daytona Beach, Florida and active in the NPI registry since May 2007. The organization lists Jerri Creggar, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1114148574
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameATLANTIC UROLOGICAL ASSOCIATES P A
Location Address1620 MASON AVE, SUITE EDaytona Beach, FL 32117-7802
Mailing Address545 Health BlvdDaytona Beach, FL 32114-1493 · (386) 239-8500
Organization SubpartNo
Authorized OfficialJerri CreggarChief Operating Officer · (386) 239-8500
Enumeration DateMay 2, 2007
Last NPPES UpdateFebruary 14, 2008
NPI 1114148574 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.
1620 MASON AVE, Daytona Beach, FL 32117

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Radiology (Radiation Oncology)
1620 MASON AVE, SUITE E
DAYTONA BEACH, FL 32117

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 Atlantic Urological Associates P A's NPI number?

The NPI number for Atlantic Urological Associates P A is 1114148574. It was assigned to this organization in the NPPES registry on May 2, 2007.

Where is Atlantic Urological Associates P A located?

Atlantic Urological Associates P A is located at 1620 Mason Ave Suite E, Daytona Beach, FL 32117. The listed phone number is (386) 506-5115.

What is Atlantic Urological Associates P A's specialty?

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

When was this NPI record last updated?

The NPPES record for Atlantic Urological Associates P A was last updated on February 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.