METRO ATLANTA UROLOGY AND PELVIC HEALTH CENTER, LLC
NPI 1174274013
Urology - Urogynecology and Reconstructive Pelvic Surgery in Kennesaw, GA

Q: What is Metro Atlanta Urology And Pelvic Health Center, LLC's specialty?

The primary specialty registered for this NPI is Urology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 2088F0040X.

Active since January 12, 2022CLIA 11D2272740 · Waiver

1301 SHILOH RD NW STE 660, KENNESAW, GA 30144(404) 913-2891(770) 648-2908 Get Directions Write a Review

NPPES record last updated: January 12, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Metro Atlanta Urology And Pelvic Health Center, Llc NPPES

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

METRO ATLANTA UROLOGY AND PELVIC HEALTH CENTER, LLC (NPI 1174274013) is a healthcare organization registered as an urogynecology and reconstructive pelvic surgery in Kennesaw, Georgia and active in the NPI registry since January 2022. The organization holds a CLIA Waiver certificate valid through November 28, 2026 and lists Shenelle Wilson, Owner, as its authorized official.

NPPES Registry Identity

NPI1174274013

Entity TypeOrganization

Primary Taxonomy2088F0040X

Legal Business NameMETRO ATLANTA UROLOGY AND PELVIC HEALTH CENTER, LLC

Location Address1301 SHILOH RD NW STE 660Kennesaw, GA 30144-7158

Mailing Address1179 State St NwAtlanta, GA 30318-5331 · (301) 367-2187

Phone(404) 913-2891

Fax(770) 648-2908

Organization SubpartNo

Authorized OfficialShenelle WilsonOwner · (404) 913-2891

Enumeration DateJanuary 12, 2022

NPPES CertifiedJanuary 12, 2022

✔ NPI 1174274013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrology · Urogynecology and Reconstructive Pelvic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2088F0040X

Definition

A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.

1301 SHILOH RD NW STE 660, Kennesaw, GA 30144

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 MULTIPLE 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)

Metro Atlanta Urology And Pelvic Health Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Metro Atlanta Urology And Pelvic Health Center, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Shenelle Wilson

Urology

NPI 1215283775

2204 PAVILION DR STE 310
Kingsport, TN 37660

(423) 246-4155

✔ PECOS✔ Accepts Medicare209 mi

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

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 11D2272740

Metro Atlanta Urology And Pelvic Health Center · Kennesaw, GA

Active · expires Nov 28, 2026

CLIA Number11D2272740

Laboratory TypePhysician Office

Certificate Effective DateNovember 29, 2024

Certificate Expiration DateNovember 28, 2026

Laboratory DirectorShenelle N. Wilson

Laboratory Phone(404) 913-2891

Laboratory LocationMetro Atlanta Urology And Pelvic Health Center1301 Shiloh Road NW Suite 660, Kennesaw, GA 30144

CLIA data matches this NPI record on: Address Name Phone

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

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 Metro Atlanta Urology And Pelvic Health Center, LLC's NPI number?

The NPI number for Metro Atlanta Urology And Pelvic Health Center, LLC is 1174274013. It was assigned to this organization in the NPPES registry on January 12, 2022.

Where is Metro Atlanta Urology And Pelvic Health Center, LLC located?

Metro Atlanta Urology And Pelvic Health Center, LLC is located at 1301 Shiloh Rd NW Ste 660, Kennesaw, GA 30144. The listed phone number is (404) 913-2891.

What is Metro Atlanta Urology And Pelvic Health Center, LLC's specialty?

The primary specialty registered for this NPI is Urology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 2088F0040X.

Is Metro Atlanta Urology And Pelvic Health Center, LLC enrolled in Medicare?

Yes. Metro Atlanta Urology And Pelvic Health Center, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Metro Atlanta Urology And Pelvic Health Center, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Urology) reassigns their Medicare billing to Metro Atlanta Urology And Pelvic Health Center, LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Metro Atlanta Urology And Pelvic Health Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2272740) is associated with this NPI, valid through November 28, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Metro Atlanta Urology And Pelvic Health Center, LLC was last updated on January 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.