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GEORGIA UROLOGY PA
NPI 1235354424
Urology in Jasper, GA

Active since April 15, 2007CLIA 11D0891563 · Microscopy
220 J L WHITE DR, SUITE 160, JASPER, GA 30143(706) 692-4384(706) 692-2504 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Georgia Urology Pa NPPES

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

GEORGIA UROLOGY PA (NPI 1235354424) is a healthcare organization registered as an urology in Jasper, Georgia and active in the NPI registry since April 2007. The organization holds a CLIA Microscopy certificate valid through September 11, 2026 and lists Dan Fellner, Ceo, as its authorized official.

NPPES Registry Identity

NPI1235354424
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameGEORGIA UROLOGY PA
Location Address220 J L WHITE DR, SUITE 160Jasper, GA 30143-4893
Mailing Address1930 Brannan RdMcdonough, GA 30253-4310 · (678) 284-4040 · Fax (678) 284-4076
Phone(706) 692-4384
Fax(706) 692-2504
Organization SubpartYes
Authorized OfficialDan FellnerCeo · (678) 205-8360
Enumeration DateApril 15, 2007
Last NPPES UpdateMay 6, 2026
NPPES CertifiedMay 6, 2026
✔ NPI 1235354424 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.
220 J L WHITE DR, Jasper, GA 30143
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Other Identifiers 1

Other11D0891563GA · Clia

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

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 for Provider-Performed Microscopy Procedures (PPMP) 11D0891563

Georgia Urology PA Jasper · Jasper, GA
Active · expires Sep 11, 2026
CLIA Number11D0891563
Laboratory TypePhysician Office
Certificate Effective DateSeptember 12, 2024
Certificate Expiration DateSeptember 11, 2026
Laboratory DirectorJoel A. Rosenfeld
Laboratory Phone(706) 692-4384
Laboratory LocationGeorgia Urology PA Jasper220 J L White Drive, Suite 201, Jasper, GA 30143
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 12

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

JASON ANDREW BERNER M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
220 J L WHITE DR, SUITE 110
JASPER, GA 30143
Pickens County (706) 253-3842
WOMENS SPECIALTY CENTER OF NORTH GEORGIA
Obstetrics & Gynecology (Hospice and Palliative Medicine)
220 J L WHITE DR, SUITE 120
JASPER, GA 30143
Pickens County (706) 692-3539
KELLIE PACK NP
Nurse Practitioner (Family)
220 J L WHITE DR, SUITE 120
JASPER, GA 30143
Pickens County (706) 692-3539
SANJAY SERRAO MD
Internal Medicine
220 J L WHITE DR, STE 150
JASPER, GA 30143
Pickens County (706) 299-2200
JOEL A ROSENFELD M.D.
Urology
220 J L WHITE DR, SUITE 160
JASPER, GA 30143
Pickens County (706) 692-4384
WANDA DENISE CORREIA F.N.P.
Nurse Practitioner (Family)
220 J L WHITE DR, SUITE 110
JASPER, GA 30143
Pickens County (706) 253-3842
DR. ROBERTO F PEREIRA M.D.
Internal Medicine (Cardiovascular Disease)
220 J L WHITE DR, SUITE 100
JASPER, GA 30143
Pickens County (706) 253-8001
CARDIAC DISEASE SPECIALISTS, PC
Internal Medicine (Cardiovascular Disease)
220 J L WHITE DR, STE 100
JASPER, GA 30143
Pickens County (706) 253-8001

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 1235354424. It was assigned to this organization in the NPPES registry on April 15, 2007.

Where is Georgia Urology PA located?

Georgia Urology PA is located at 220 J L White Dr Suite 160, Jasper, GA 30143. The listed phone number is (706) 692-4384.

What is Georgia Urology PA's specialty?

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

Does Georgia Urology PA hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 11D0891563) is associated with this NPI, valid through September 11, 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 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 2 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.