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GEORGIA UROLOGY PA
NPI 1245575638
Urology in Smyrna, GA

Active since December 11, 2012
3903 S COBB DR SE, SUITE 200, SMYRNA, GA 30080(770) 948-7228(770) 948-7239 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Georgia Urology Pa NPPES

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

GEORGIA UROLOGY PA (NPI 1245575638) is a healthcare organization registered as an urology in Smyrna, Georgia and active in the NPI registry since December 2012. The organization lists Dan Fellner, Ceo, as its authorized official.

NPPES Registry Identity

NPI1245575638
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameGEORGIA UROLOGY PA
Location Address3903 S COBB DR SE, SUITE 200Smyrna, GA 30080-8504
Mailing Address1930 Brannan RdMcdonough, GA 30253-4310 · (678) 284-4041 · Fax (678) 284-4079
Phone(770) 948-7228
Fax(770) 948-7239
Organization SubpartYes
Authorized OfficialDan FellnerCeo · (678) 205-8360
Enumeration DateDecember 11, 2012
Last NPPES UpdateMay 6, 2026
NPPES CertifiedMay 6, 2026
✔ NPI 1245575638 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.
3903 S COBB DR SE, Smyrna, GA 30080
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Other Identifiers 1

Other11D2052148GA · 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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Georgia Urology Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

115

Medicare enrollment records show 115 clinicians reassign Medicare billing to Georgia Urology PA, which bills Medicare for the services they deliver. Of these, 28 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Urology83
Nurse Practitioner29
Interventional Radiology2
Diagnostic Radiology1

Nearest to this location (20)

See all 115
Carrie Collin, MSN,FNP
Nurse Practitioner
NPI 1194230961
4298 ATLANTA RD. SE STE 300
Smyrna, GA 30080
(770) 429-9100
✔ PECOS✔ Accepts Medicare1.4 mi
David Owens, MD
Diagnostic Radiology
NPI 1932284833
4545 HARRIS TRL NW
Atlanta, GA 30327
(404) 277-1502
✔ PECOS4.9 mi
Charles Kaplan, M.D.
Urology
NPI 1538261227
1700 HOSPITAL SOUTH DR SUITE 201
Austell, GA 30106
(770) 948-7228
✔ PECOS✔ Accepts Medicare5.1 mi
Warren Oberle, MD
Urology
NPI 1417967498
1700 HOSPITAL SOUTH DR SUITE 201
Austell, GA 30106
(770) 948-7228
✔ PECOS✔ Accepts Medicare5.1 mi
Kenneth Carney, M.D., PHARMD
Urology
NPI 1922033281
3193 HOWELL MILL RD NW STE 322
Atlanta, GA 30327
(470) 788-8379
✔ PECOS✔ Accepts Medicare5.1 mi
Catherine Carman, NP-C
Nurse Practitioner
NPI 1588769541
3200 DOWNWOOD CIR NW SUITE 640
Atlanta, GA 30327
(404) 351-0051
✔ PECOS✔ Accepts Medicare5.2 mi
Corby Barkhaus, NP
Nurse Practitioner
NPI 1841680048
275 COLLIER RD NW STE 400
Atlanta, GA 30309
(404) 605-4848
✔ PECOS7.5 mi
Steven Brousell, M.D.
Urology
NPI 1679991483
275 COLLIER RD NW STE 400
Atlanta, GA 30309
(404) 605-4848
✔ PECOS✔ Accepts Medicare7.5 mi
Christopher Keith, M.D.
Urology
NPI 1023463395
275 COLLIER RD NW STE 400
Atlanta, GA 30309
(404) 605-4848
✔ PECOS✔ Accepts Medicare7.5 mi
A Levinson, M.D.
Urology
NPI 1346342128
55 WHITCHER ST NE STE 250
Marietta, GA 30060
(770) 428-4475
✔ PECOS✔ Accepts Medicare7.8 mi
Froylan Gonzales, MD
Urology
NPI 1760594303
790 CHURCH ST NE SUITE 430
Marietta, GA 30060
(770) 429-9100
✔ PECOS✔ Accepts Medicare8.1 mi
Shaya Taghechian, MD
Urology
NPI 1053612101
790 CHURCH ST NE SUITE 430
Marietta, GA 30060
(770) 429-9100
✔ PECOS✔ Accepts Medicare8.1 mi
Robert Dimeglio, M.D.
Urology
NPI 1619929973
95 COLLIER RD NW STE 6025
Atlanta, GA 30309
(404) 352-9260
✔ PECOS✔ Accepts Medicare8.4 mi
Deena Holloway, FNP-C
Nurse Practitioner
NPI 1396264008
105 COLLIER RD NW STE 3020
Atlanta, GA 30309
(404) 605-4848
✔ PECOS✔ Accepts Medicare8.4 mi
Emily Blum, MD
Urology
NPI 1912137431
5730 GLENRIDGE DR STE 200
Atlanta, GA 30328
(404) 252-5206
✔ PECOS✔ Accepts Medicare9.5 mi
Shuvro De, MD
Urology
NPI 1508125865
5730 GLENRIDGE DR STE 200
Atlanta, GA 30328
(404) 252-5206
✔ PECOS✔ Accepts Medicare9.5 mi
Brittney Guilfo
Nurse Practitioner
NPI 1184578916
5730 GLENRIDGE DR STE 200
Atlanta, GA 30328
(404) 256-1844
✔ PECOS✔ Accepts Medicare9.5 mi
Katie Hillman, CPNP
Nurse Practitioner
NPI 1477135465
5730 GLENRIDGE DR STE 200
Atlanta, GA 30328
(404) 252-5206
✔ PECOS✔ Accepts Medicare9.5 mi
Molly Wilber, AGACNP
Nurse Practitioner
NPI 1316567860
5730 GLENRIDGE DR STE 200
Atlanta, GA 30328
(404) 256-1844
✔ PECOS✔ Accepts Medicare9.5 mi
Jin Park, M.D.
Interventional Radiology
NPI 1649399338
1000 JOHNSON FERRY RD NE RADIOLOGY DEPARTMENT
Atlanta, GA 30342
(404) 851-6323
✔ PECOS✔ Accepts Medicare9.9 mi
See all 115 clinicians

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

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 1245575638. It was assigned to this organization in the NPPES registry on December 11, 2012.

Where is Georgia Urology PA located?

Georgia Urology PA is located at 3903 S Cobb Dr SE Suite 200, Smyrna, GA 30080. The listed phone number is (770) 948-7228.

What is Georgia Urology PA's specialty?

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

Is Georgia Urology PA enrolled in Medicare?

Yes. Georgia Urology PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Georgia Urology PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 115 clinicians in 4 Medicare specialties reassign their Medicare billing to Georgia Urology PA. 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. The largest specialties are Urology (83), Nurse Practitioner (29) and Interventional Radiology (2). Of these, 28 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 6 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.