UROLOGY SURGERY CENTER JOHNS CREEK LLC
NPI 1124571104
Clinic/Center - Ambulatory Surgical in Johns Creek, GA

Q: What is Urology Surgery Center Johns Creek LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since July 26, 2016CLIA 11D2118825 · Waiver

10730 MEDLOCK BRIDGE RD, SUITE 120, JOHNS CREEK, GA 30097(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 09, 2026.

Record update history: Jan 2, 2025, May 11, 2023, Sep 12, 2022 and 1 more (4 updates tracked since 2016).

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About Urology Surgery Center Johns Creek Llc NPPES

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

UROLOGY SURGERY CENTER JOHNS CREEK LLC (NPI 1124571104) is a healthcare organization registered as an ambulatory surgical in Johns Creek, Georgia and active in the NPI registry since July 2016. The organization holds a CLIA Waiver certificate valid through September 14, 2026 and lists Beemal Shah, Ceo, as its authorized official.

NPPES Registry Identity

NPI1124571104

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameUROLOGY SURGERY CENTER JOHNS CREEK LLC

Location Address10730 MEDLOCK BRIDGE RD, SUITE 120Johns Creek, GA 30097-1705

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 DateJuly 26, 2016

Last NPPES UpdateJanuary 2, 20254 updates tracked since enumeration

NPPES CertifiedJanuary 2, 2025

✔ NPI 1124571104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

10730 MEDLOCK BRIDGE RD, Johns Creek, GA 30097

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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 11D2118825

Urology Surgery Center Johns Creek · Johns Creek, GA

Active · expires Sep 14, 2026

CLIA Number11D2118825

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateSeptember 15, 2024

Certificate Expiration DateSeptember 14, 2026

Laboratory DirectorJitesh V. Patel

Laboratory Phone(678) 344-8900

Laboratory LocationUrology Surgery Center Johns Creek10730 Medlock Bridge Road, Suite 120, Johns Creek, GA 30097

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Imaging of urinary tract following injection of a contrast agent 74420

This procedure involves injecting a contrast agent into your body to help highlight the urinary tract during imaging. The contrast agent makes your urinary tract more visible on the images, providing detailed information about its structure and function. This can help in diagnosing any potential issues.

90 services80 patients

Biopsy of prostate gland 55700

A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.

89 services87 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

81 services71 patients

Insertion of sacral nerve neurostimulator electrode array 64561

The insertion of a sacral nerve neurostimulator electrode array is a procedure where a small device is placed under your skin. This device sends mild electrical pulses to your sacral nerves, which can help manage certain body functions and alleviate symptoms.

74 services34 patients

Biopsy of bladder using an endoscope 52204

A biopsy of the bladder using an endoscope is a procedure where a small sample of bladder tissue is collected for testing. An endoscope, a flexible tube with a light and camera, is used to see inside the bladder. This helps to identify any abnormal areas. The procedure helps in the diagnosis of various conditions.

49 services39 patients

Dilation of bladder using an endoscope under general or spinal anesthesia 52260

This is a procedure where a special instrument called an endoscope is used to widen your bladder. It's done under anesthesia, so you won't feel anything. It helps with various bladder conditions by improving flow and reducing discomfort.

48 services38 patients

Shock wave crushing of kidney stones 50590

Shock wave crushing of kidney stones, also known as Extracorporeal Shock Wave Lithotripsy (ESWL), is a non-invasive treatment. It involves the use of sound waves to break down kidney stones into small pieces that can easily pass through your urinary tract.

42 services33 patients

Insertion of tube into ureter using an endoscope through bladder area 52005

This procedure involves the use of a thin, flexible tool called an endoscope. It's inserted through the body's natural pathways to reach the area where urine is transported. A small tube is then placed in this area to help with urine flow or to remove blockages.

34 services34 patients

Insertion or replacement of peripheral, sacral, or gastric neurostimulator generator or receiver 64590

The insertion of a peripheral or gastric neurostimulator generator is a procedure that helps manage chronic pain or gastric conditions. A small device is surgically placed under the skin, which sends mild electrical signals to the nerves involved.

21 services21 patients

Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants C9740

Cystourethroscopy with insertion of transprostatic implant is a procedure where tiny implants are placed in the prostate area via a thin tube inserted through the urinary passage. This helps to manage urinary flow issues. Four or more implants may be used.

21 services21 patients

Removal of prostate gland using an electrocautery knife through urethra with control of bleeding using an endoscope 52601

This procedure involves the careful removal of a small gland located in the lower body using a special heated knife, inserted through a natural body passage. An endoscope, a thin tube with a light and camera, helps to manage any bleeding. The aim is to alleviate discomfort and improve overall health.

18 services18 patients

Insertion of stent in ureter using an endoscope 52332

This procedure involves placing a small, flexible tube (stent) in your body's drainage system to help urine flow from the kidneys to the bladder. An endoscope, a thin tube with a light and camera, is used for precise placement.

17 services13 patients

Diagnostic exam of bladder, urethra, and ureter or kidney using an endoscope 52351

This is a procedure where a small tube with a camera, called an endoscope, is used to examine the bladder and the tubes that carry urine from the kidneys to the bladder. It helps in detecting any abnormalities or issues.

17 services14 patients

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.

ADVANCED UROLOGY ANESTHESIA, LLC

Anesthesiology

10730 MEDLOCK BRIDGE RD
JOHNS CREEK, GA 30097

Gwinnett County (678) 344-8900

ADVANCED UROLOGY INSTITUTE OF GEORGIA

Urology

10730 MEDLOCK BRIDGE RD, SUITE 110
JOHNS CREEK, GA 30097

Gwinnett County (678) 344-8900

MARY KATHRYN PEABODY PA-C

Physician Assistant (Surgical)

10730 MEDLOCK BRIDGE RD
JOHNS CREEK, GA 30097

Gwinnett County (404) 948-4073

LAUREN GORING

Physician Assistant (Surgical)

10730 MEDLOCK BRIDGE RD
JOHNS CREEK, GA 30097

Gwinnett County (404) 480-7362

ATLANTA HAND THERAPY LLC

Occupational Therapist (Hand)

10730 MEDLOCK BRIDGE RD, SUITE 200
JOHNS CREEK, GA 30097

Gwinnett County (770) 333-7888

NICOLE SCHLADT PA-C

Physician Assistant (Surgical)

10730 MEDLOCK BRIDGE RD
JOHNS CREEK, GA 30097

Gwinnett County (404) 948-4073

ULNA SURGERY CENTER LLC

Clinic/Center (Ambulatory Surgical)

10730 MEDLOCK BRIDGE RD, SUITE 210
JOHNS CREEK, GA 30097

Gwinnett County (770) 333-7888

DR. NICHOLAS FARBER MD

Urology

10730 MEDLOCK BRIDGE RD
JOHNS CREEK, GA 30097

Gwinnett County (678) 344-8900

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 Urology Surgery Center Johns Creek LLC's NPI number?

The NPI number for Urology Surgery Center Johns Creek LLC is 1124571104. It was assigned to this organization in the NPPES registry on July 26, 2016.

Where is Urology Surgery Center Johns Creek LLC located?

Urology Surgery Center Johns Creek LLC is located at 10730 Medlock Bridge Rd Suite 120, Johns Creek, GA 30097. The listed phone number is (678) 344-8900.

What is Urology Surgery Center Johns Creek LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Urology Surgery Center Johns Creek LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2118825) is associated with this NPI, valid through September 14, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Urology Surgery Center Johns Creek LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Urology Surgery Center Johns Creek LLC 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 Urology Surgery Center Johns Creek LLC 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.

About Urology Surgery Center Johns Creek Llc NPPES

NPPES Registry Identity

Specialties & Licenses

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Certificate of Waiver · 11D2118825

Areas of Expertise CMS Part B claims 13

Other Providers at the Same Location NPPES 8

Frequently Asked Questions NPPES & CMS

What is Urology Surgery Center Johns Creek LLC's NPI number?

Where is Urology Surgery Center Johns Creek LLC located?

What is Urology Surgery Center Johns Creek LLC's specialty?

Does Urology Surgery Center Johns Creek LLC hold a CLIA laboratory certificate?

What insurance does Urology Surgery Center Johns Creek LLC accept?

When was this NPI record last updated?

Certificate of Waiver 11D2118825