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GEORGIA UROLOGY PA
NPI 1154855740
Urology in Monroe, GA

Active since April 20, 2017
2161 W SPRING ST., SUITE C, MONROE, GA 30655(770) 963-2451 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 6, 2026, Apr 20, 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 1154855740) is a healthcare organization registered as an urology in Monroe, Georgia and active in the NPI registry since April 2017. The organization lists Dan Fellner, Ceo, as its authorized official.

NPPES Registry Identity

NPI1154855740
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameGEORGIA UROLOGY PA
Location Address2161 W SPRING ST., SUITE CMonroe, GA 30655-3196
Mailing Address1930 Brannan RdMcdonough, GA 30253-4310 · (678) 284-4040
Phone(770) 963-2451
Organization SubpartYes
Authorized OfficialDan FellnerCeo · (678) 205-8360
Enumeration DateApril 20, 2017
Last NPPES UpdateMay 6, 20262 updates tracked since enumeration
NPPES CertifiedMay 6, 2026
✔ NPI 1154855740 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.
2161 W SPRING ST., Monroe, GA 30655
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Georgia Urology Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

115

Medicare enrollment records show 115 clinicians reassign Medicare billing to Georgia Urology PA, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Urology83
Nurse Practitioner29
Interventional Radiology2
Diagnostic Radiology1

Nearest to this location (20)

See all 115
Francis Nicholson, M.D.
Urology
NPI 1003816166
2161 W SPRING ST STE C
Monroe, GA 30655
(770) 963-2451
✔ PECOS2.2 mi
Bert Chen, M.D.
Urology
NPI 1376576124
1301 SIGMAN RD NE STE 250A
Conyers, GA 30012
(770) 760-9900
✔ PECOS✔ Accepts Medicare16 mi
Allen Futral, M.D.
Urology
NPI 1295839827
1301 SIGMAN RD NE STE 250A
Conyers, GA 30012
(770) 760-9900
✔ PECOS✔ Accepts Medicare16 mi
John Stites, MD
Urology
NPI 1114356599
1700 TREE LN STE 420
Snellville, GA 30078
(770) 979-9427
✔ PECOS✔ Accepts Medicare17 mi
Ronald Anglade, M.D.
Urology
NPI 1487758017
1700 TREE LN STE 420
Snellville, GA 30078
(770) 979-9427
✔ PECOS✔ Accepts Medicare17 mi
A Sherlag, M.D.
Urology
NPI 1134131204
1700 TREE LN SUITE 420
Snellville, GA 30078
(770) 979-9427
✔ PECOS✔ Accepts Medicare17 mi
Howard Goldberg, MD
Urology
NPI 1659303808
600 PROFESSIONAL DR SUITE 120
Lawrenceville, GA 30045
(770) 963-8444
✔ PECOS19 mi
Roosevelt Allen, M.D.
Urology
NPI 1326050485
500 MEDICAL CENTER BLVD SUITE 220
Lawrenceville, GA 30046
(770) 963-2451
✔ PECOS✔ Accepts Medicare19 mi
Kanika Searvance, MD
Urology
NPI 1558899823
500 MEDICAL CENTER BLVD STE 345
Lawrenceville, GA 30046
(770) 963-2451
✔ PECOS✔ Accepts Medicare19 mi
Douglas Nyhoff, M.D.
Urology
NPI 1992768840
631 PROFESSIONAL DR STE 490
Lawrenceville, GA 30046
(770) 995-0424
✔ PECOS19 mi
Jin Soon Yeoh, MD
Urology
NPI 1417190901
631 PROFESSIONAL DR STE 490
Lawrenceville, GA 30046
(770) 995-0424
✔ PECOS✔ Accepts Medicare19 mi
Arman Cicic, D.O.
Urology
NPI 1023422888
850 LAWRENCEVILLE SUWANEE RD STE 101
Lawrenceville, GA 30043
(770) 963-2451
✔ PECOS✔ Accepts Medicare20 mi
Ostap Dovirak, M.D.
Urology
NPI 1912141417
850 LAWRENCEVILLE SUWANEE RD STE 101
Lawrenceville, GA 30043
(770) 963-2451
✔ PECOS✔ Accepts Medicare20 mi
Christopher Kim, MD, PHARMD
Urology
NPI 1063918852
850 LAWRENCEVILLE SUWANEE RD STE 101
Lawrenceville, GA 30043
(770) 963-2451
✔ PECOS✔ Accepts Medicare20 mi
Patricia Shelton, NP
Nurse Practitioner
NPI 1407439441
7316 SPOUT SPRINGS RD STE 203
Flowery Branch, GA 30542
(678) 205-8387
✔ PECOS✔ Accepts Medicare23 mi
Michael Butzen, DNP
Nurse Practitioner
NPI 1760036776
1223 FRIENDSHIP RD. BLDG. 400, SUITE 100
Braselton, GA 30517
(678) 205-8387
✔ PECOS✔ Accepts Medicare23 mi
Tej Desai
Urology
NPI 1093344517
1223 FRIENDSHIP RD STE 100
Braselton, GA 30517
(678) 205-8387
✔ PECOS✔ Accepts Medicare23 mi
Devendar Katkoori, M.D
Urology
NPI 1477873156
1223 FRIENDSHIP RD STE 100
Braselton, GA 30517
(678) 205-8387
✔ PECOS✔ Accepts Medicare23 mi
Kalpit Patel, M.D.
Urology
NPI 1457641938
1223 FRIENDSHIP RD STE 100
Braselton, GA 30517
(678) 205-8387
✔ PECOS✔ Accepts Medicare23 mi
David Stanley, MD
Urology
NPI 1184820722
1223 FRIENDSHIP RD STE 100
Braselton, GA 30517
(678) 205-8387
✔ PECOS✔ Accepts Medicare23 mi
See all 115 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 1154855740. It was assigned to this organization in the NPPES registry on April 20, 2017.

Where is Georgia Urology PA located?

Georgia Urology PA is located at 2161 W Spring St. Suite C, Monroe, GA 30655. The listed phone number is (770) 963-2451.

What is Georgia Urology PA's specialty?

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

Is Georgia Urology PA enrolled in Medicare?

Yes. Georgia Urology PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Georgia Urology PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 115 clinicians in 4 Medicare specialties reassign their Medicare billing to Georgia Urology PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Urology (83), Nurse Practitioner (29) and Interventional Radiology (2). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 6 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.