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

Active since August 11, 2006CLIA 11D1011774 · Waiver
1240 JESSE JEWELL PKWY SE, SUITE 250, GAINESVILLE, GA 30501(770) 287-1299 Get Directions Write a Review

NPPES record last updated: June 23, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Gainesville Urology Asc Llc NPPES

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

GAINESVILLE UROLOGY ASC LLC (NPI 1245241694) is a healthcare organization registered as an ambulatory surgical in Gainesville, Georgia and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through April 22, 2027 and lists Michele Thompson, Business Office Manager, as its authorized official.

NPPES Registry Identity

NPI1245241694
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameGAINESVILLE UROLOGY ASC LLC
Location Address1240 JESSE JEWELL PKWY SE, SUITE 250Gainesville, GA 30501-3862
Mailing Address1240 Jesse Jewell Pkwy Se, Suite 250Gainesville, GA 30501-3862 · (770) 287-1299
Organization SubpartNo
Authorized OfficialMichele ThompsonBusiness Office Manager · (770) 287-1299
Enumeration DateAugust 11, 2006
Last NPPES UpdateJune 23, 2010
NPI 1245241694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License Licensed in GA · 069-265
1240 JESSE JEWELL PKWY SE, Gainesville, GA 30501

Other Identifiers 1

Medicare ID-Type Unspecified111226ASCAGA · Medicare Part B Number

Accepted 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 11D1011774

Gainesville Urology ASC LLC · Gainesville, GA
Active · expires Apr 22, 2027
CLIA Number11D1011774
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateApril 23, 2025
Certificate Expiration DateApril 22, 2027
Laboratory DirectorThomas M. Fassuliotis
Laboratory Phone(770) 287-1299
Laboratory LocationGainesville Urology ASC LLC1240 Jessie Jewell Parkway 250, Gainesville, GA 30501
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 16

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.

Injection, onabotulinumtoxina, 1 unit J0585
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.
2,865 services22 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.
311 services237 patients
Dilation of urethra using an endoscope 52281
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.
180 services179 patients
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.
151 services128 patients
Ultrasound scan of pelvic region through rectum 76872
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.
113 services113 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.
97 services97 patients

Other Providers at the Same Location NPPES 19

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

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
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
1240 JESSE JEWELL PKWY SE
GAINESVILLE, GA 30501

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 Gainesville Urology ASC LLC's NPI number?

The NPI number for Gainesville Urology ASC LLC is 1245241694. It was assigned to this organization in the NPPES registry on August 11, 2006.

Where is Gainesville Urology ASC LLC located?

Gainesville Urology ASC LLC is located at 1240 Jesse Jewell Pkwy SE Suite 250, Gainesville, GA 30501. The listed phone number is (770) 287-1299.

What is Gainesville Urology ASC LLC's specialty?

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

Does Gainesville Urology ASC LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1011774) is associated with this NPI, valid through April 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Gainesville Urology ASC LLC accept?

Health plans from Alliant Health Plans, Inc. and Mending Health list Gainesville Urology ASC 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 Gainesville Urology ASC LLC was last updated on June 23, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.