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GEORGIA UROLOGY PA
NPI 1245250646
Urology in Riverdale, GA

Active since July 20, 2006CLIA 11D0902137 · Microscopy
33 UPPER RIVERDALE RD SW, SUITE 105, RIVERDALE, GA 30274(770) 991-0020(770) 994-9729 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Georgia Urology Pa NPPES

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

GEORGIA UROLOGY PA (NPI 1245250646) is a healthcare organization registered as an urology in Riverdale, Georgia and active in the NPI registry since July 2006. The organization holds a CLIA Microscopy certificate valid through July 6, 2028 and lists Dan Fellner, Ceo, as its authorized official.

NPPES Registry Identity

NPI1245250646
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameGEORGIA UROLOGY PA
Location Address33 UPPER RIVERDALE RD SW, SUITE 105Riverdale, GA 30274-2626
Mailing Address1930 Brannan RdMcdonough, GA 30253-4310 · (678) 284-4040 · Fax (678) 284-4076
Phone(770) 991-0020
Fax(770) 994-9729
Organization SubpartNo
Authorized OfficialDan FellnerCeo · (678) 205-8360
Enumeration DateJuly 20, 2006
Last NPPES UpdateMay 6, 2026
NPPES CertifiedMay 6, 2026
✔ NPI 1245250646 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.

33 UPPER RIVERDALE RD SW, Riverdale, GA 30274
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Other Identifiers 1

OtherGRP1552GA · Group Number

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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 for Provider-Performed Microscopy Procedures (PPMP) 11D0902137

Georgia Urology PA Riverdale · Riverdale, GA
Active · expires Jul 6, 2028
CLIA Number11D0902137
Laboratory TypePhysician Office
Certificate Effective DateJuly 7, 2026
Certificate Expiration DateJuly 6, 2028
Laboratory DirectorDr. Darrell Carmen
Laboratory Phone(770) 991-0020
Laboratory LocationGeorgia Urology PA Riverdale33 Upper Riverdale Road Suite 105, Riverdale, GA 30274
CLIA data matches this NPI record on: 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 20

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

GEORGIA CANCER SPECIALISTS I, PC
Internal Medicine (Hematology & Oncology)
33 UPPER RIVERDALE RD SW, SUITE 121
RIVERDALE, GA 30274
Clayton County (770) 997-1253
DR. KEVIN STEWART FREEMAN M.D.
Specialist
33 UPPER RIVERDALE RD SW, SUITE 114
RIVERDALE, GA 30274
Clayton County (770) 991-1624
GEORGIA HEART ASSOCIATES, PC
Internal Medicine (Cardiovascular Disease)
33 UPPER RIVERDALE RD SW, SUITE 118
RIVERDALE, GA 30274
Clayton County (770) 991-9166
MATTHEW EDWIN DAVIS M.D.
Otolaryngology
33 UPPER RIVERDALE RD SW, SUITE 117
RIVERDALE, GA 30274
Clayton County (770) 991-1170
GLENN S SHEAR MDPC
Specialist
33 UPPER RIVERDALE RD SW, SUITE 114
RIVERDALE, GA 30274
Clayton County (770) 991-1624
ROBIN PASQUALE ALVERSON MMS, CCC-A
Audiologist
33 UPPER RIVERDALE RD SW, SUITE 117
RIVERDALE, GA 30274
Clayton County (770) 991-1170
MINIMALLY INVASIVE NEUROSPINE AND PAIN INSTITUTE, PC
Clinic/Center (Ambulatory Surgical)
33 UPPER RIVERDALE RD SW, #25
RIVERDALE, GA 30274
Clayton County (770) 997-0600
RICHARD A. STAPPENBECK, M.D., P.C.
Psychiatry & Neurology (Neurology)
33 UPPER RIVERDALE RD SW, SUITE 111
RIVERDALE, GA 30274
Clayton County (770) 997-4018

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 1245250646. It was assigned to this organization in the NPPES registry on July 20, 2006.

Where is Georgia Urology PA located?

Georgia Urology PA is located at 33 Upper Riverdale Rd SW Suite 105, Riverdale, GA 30274. The listed phone number is (770) 991-0020.

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 11D0902137) is associated with this NPI, valid through July 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Georgia Urology PA accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Georgia Urology PA 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 Georgia Urology PA was last updated on May 6, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.