GAINESVILLE UROLOGY ASC LLC
NPI 1245241694
Clinic/Center - Ambulatory Surgical in Gainesville, GA

NPI Status: Active since August 11, 2006

Contact Information

1240 JESSE JEWELL PKWY SE
SUITE 250
GAINESVILLE, GA
ZIP 30501
Phone: (770) 287-1299

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • Accepts Insurance
  • CLIA Number: 11D1011774
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 04-22-2027

About GAINESVILLE UROLOGY ASC LLC

This page provides the complete NPI Profile along with additional information for Gainesville Urology Asc Llc, a provider established in Gainesville, Georgia operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1245241694 assigned on August 2006. The practitioner's primary taxonomy code is 261QA1903X with license number 069-265 (GA). The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Michele Thompson (Business Office Manager)

NPI
1245241694
Provider Name
GAINESVILLE UROLOGY ASC LLC
Entity Type
Organization
Location Address
1240 JESSE JEWELL PKWY SE SUITE 250 GAINESVILLE, GA 30501
Location Phone
(770) 287-1299
Mailing Address
1240 JESSE JEWELL PKWY SE SUITE 250 GAINESVILLE, GA 30501
Mailing Phone
(770) 287-1299
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-11-2006
Last Update Date
06-23-2010
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities
License No.
069-265
License State
GA

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • SoloCare Bronze EPO $8500 DED HSA 10004 - EPO
  • SoloCare Exp Bronze EPO $9500 DED 10015 - EPO
  • SoloCare Gold EPO $1500 DED 10010 - EPO
  • SoloCare Silver EPO $5000 DED 10014 - EPO
  • SoloCare Silver EPO $6500 DED 10013 - EPO
  • SoloCare Standard Exp Bronze EPO $7500 DED 10008 - EPO
  • SoloCare Standard Gold EPO $2000 DED 10006 - EPO
  • SoloCare Standard Platinum EPO $0 DED 10005 - EPO
  • SoloCare Standard Silver EPO $6000 DED 10007 - EPO
  • MENDING Direct Primary Care Bronze 4950 ($0 DPC + $0 PCP + $0 Mental Health) - HMO
  • MENDING Direct Primary Care Gold $0 Ded ($0 DPC $0 PCP + $0 Mental Health) - HMO
  • MENDING Direct Primary Care Silver 2300 ($0 DPC + $0 PCP + $0 Mental Health) - HMO
  • MENDING Standard Bronze (No Direct Primary Care, for DPC select DPC Bronze) - HMO
  • MENDING Standard Gold (No Direct Primary Care, for DPC select DPC Gold) - HMO
  • MENDING Standard Silver (No Direct Primary Care, for DPC select DPC Silver) - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MICHELE THOMPSON

Authorized Official Title
BUSINESS OFFICE MANAGER
Authorized Official Phone
(770) 287-1299

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
111226ASCAMEDICARE ID-TYPE UNSPECIFIED (04)GAMEDICARE PART B NUMBER

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Biopsy of bladder using an endoscope

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.

This service was performed 26 times for 25 patients

Biopsy of prostate gland

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.

This service was performed 106 times for 104 patients

Crushing of stone of ureter with insertion of stent using an endoscope

This procedure involves using a thin, flexible tube (endoscope) to locate and break down kidney stones in the ureter. After this, a small tube (stent) is inserted to help maintain an open pathway for urine to flow.

This service was performed 21 times for 20 patients

Destruction and/or removal of growth of bladder and urethra using an endoscope, 0.5-2.0 cm

This procedure involves using a special instrument, an endoscope, to view and treat a small growth in the bladder and urethra. It's a minimally invasive method to remove or destroy growths measuring 0.5-2.0 cm, aiding in better urinary health.

This service was performed 15 times for 13 patients

Destruction and/or removal of growth of bladder and urethra using an endoscope, 2.0-5.0 cm

This procedure involves using a thin, flexible tool called an endoscope to examine and remove a growth in your bladder and urethra. The growth size ranges from 2.0-5.0 cm. This is done to ensure your urinary system functions properly.

This service was performed 16 times for 14 patients

Destruction of growth of bladder and urethra using an endoscope, less than 0.5 cm

This procedure involves using a special instrument called an endoscope to remove a small growth in your bladder and urethra. It's a minimally invasive procedure and the growth being treated is less than half a centimeter in size.

This service was performed 20 times for 16 patients

Diagnostic exam of bladder and urethra using an endoscope

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.

This service was performed 318 times for 270 patients

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

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.

This service was performed 14 times for 12 patients

Dilation of urethra using an endoscope

This procedure involves expanding a narrow passage in your urinary tract with the help of a special instrument called an endoscope. It aids in improving urine flow and resolving related issues, ensuring better urinary health.

This service was performed 166 times for 159 patients

Exam with injections of chemical for destruction of bladder using an endoscope

This procedure involves the use of a thin, flexible tube with a light (endoscope) for internal examination. A chemical is then injected to help eliminate specific issues in the bladder. It's a standard and safe process.

This service was performed 35 times for 26 patients

Imaging of urinary tract following injection of a contrast agent

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.

This service was performed 133 times for 111 patients

Injection of implant material beneath lining of bladder and/or urethra using an endoscope

This is a procedure where a substance is inserted under the bladder or urethra lining using a special instrument called an endoscope. This helps to support these areas and improve their function. It's done in a safe, controlled medical environment.

This service was performed 14 times for 11 patients

Injection, onabotulinumtoxina, 1 unit

Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.

This service was performed 3,675 times for 26 patients

Insertion of stent in ureter using an endoscope

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.

This service was performed 39 times for 16 patients

Insertion of tube into ureter using an endoscope through bladder area

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.

This service was performed 32 times for 29 patients

Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope

This is a procedure to remove an object, stone, or tube from your urinary tract. An endoscope, a thin, flexible tube with a light and camera, is used to locate and remove the object. It is a safe and effective way to address the issue.

This service was performed 47 times for 47 patients

Ultrasound scan of pelvic region through rectum

An ultrasound scan of the pelvic region through the rectum is a medical procedure where a small, smooth device is gently inserted into the rectum. This device uses sound waves to create images of the internal structures in the lower abdomen, aiding in diagnosis and treatment planning.

This service was performed 121 times for 119 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
11D1011774
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
April 23, 2025
Certificate Expiration Date
April 22, 2027
Laboratory Director
THOMAS M. FASSULIOTIS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Gainesville Urology Asc Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1245241694, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
4
Doubled → 8
Pos 4
5
Unchanged
Pos 5
2
Doubled → 4
Pos 6
4
Unchanged
Pos 7
1
Doubled → 2
Pos 8
6
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 2 → 4 1 → 2 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 8 + 5 + 4 + 4 + 2 + 6 + 1 + 8 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1245241694.

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Internal Medicine
1240 JESSE JEWELL PKWY SE, STE 500
GAINESVILLE, GA 30501
Internal Medicine
1240 JESSE JEWELL PKWY SE, STE 500
GAINESVILLE, GA 30501
Internal Medicine
1240 JESSE JEWELL PKWY SE, STE 500
GAINESVILLE, GA 30501
Internal Medicine (Pulmonary Disease)
1240 JESSE JEWELL PKWY SE
GAINESVILLE, GA 30501
Specialist
1240 JESSE JEWELL PKWY SE, STE 500
GAINESVILLE, GA 30501
Internal Medicine
1240 JESSE JEWELL PKWY SE, STE 500
GAINESVILLE, GA 30501
Physician Assistant
1240 JESSE JEWELL PKWY SE, STE 500
GAINESVILLE, GA 30501
Dietitian, Registered
1240 JESSE JEWELL PKWY SE, SUITE 500
GAINESVILLE, GA 30501
Physician Assistant (Medical)
1240 JESSE JEWELL PKWY SE
GAINESVILLE, GA 30501
Physician Assistant
1240 JESSE JEWELL PKWY SE
GAINESVILLE, GA 30501
Internal Medicine
1240 JESSE JEWELL PKWY SE, SUITE 500
GAINESVILLE, GA 30501
Orthopaedic Surgery
1240 JESSE JEWELL PKWY SE, SUITE 300
GAINESVILLE, GA 30501
Orthopaedic Surgery
1240 JESSE JEWELL PKWY SE
GAINESVILLE, GA 30501
Physician Assistant (Medical)
1240 JESSE JEWELL PKWY SE, SUITE 500
GAINESVILLE, GA 30501
Internal Medicine (Rheumatology)
1240 JESSE JEWELL PKWY SE, SUITE 500
GAINESVILLE, GA 30501
Family Medicine
1240 JESSE JEWELL PKWY SE, SUITE 370
GAINESVILLE, GA 30501
Registered Nurse (Medical-Surgical)
1240 JESSE JEWELL PKWY SE, SUITE 300
GAINESVILLE, GA 30501
Anesthesiology
1240 JESSE JEWELL PKWY SE, SUITE 250
GAINESVILLE, GA 30501
Urology
1240 JESSE JEWELL PKWY SE, SUITE 200
GAINESVILLE, GA 30501

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245241694, enumerated as an "organization" on August 11, 2006.

The provider is located at 1240 JESSE JEWELL PKWY SE SUITE 250 GAINESVILLE, GA 30501 and the phone number is (770) 287-1299.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Mending Health,. Please consult your insurance carrier or call the provider to verify.