GEORGIA UROLOGY, PA
NPI 1245875236
Urology in Lawrenceville, GA

Active since November 13, 2019
631 PROFESSIONAL DR STE 490, LAWRENCEVILLE, GA 30046(770) 995-0424 Get Directions Write a Review

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

Record update history: May 6, 2026, Nov 13, 2019 (2 updates tracked since 2019).

About Georgia Urology, Pa NPPES

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

GEORGIA UROLOGY, PA (NPI 1245875236) is a healthcare organization registered as an urology in Lawrenceville, Georgia and active in the NPI registry since November 2019. The organization lists Dan Fellner, Ceo, as its authorized official.

NPPES Registry Identity

NPI1245875236
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameGEORGIA UROLOGY, PA
Location Address631 PROFESSIONAL DR STE 490Lawrenceville, GA 30046-3370
Mailing Address1930 Brannan RdMcdonough, GA 30253-4310
Organization SubpartNo
Authorized OfficialDan FellnerCeo · (678) 205-8360
Enumeration DateNovember 13, 2019
Last NPPES UpdateMay 6, 20262 updates tracked since enumeration
NPPES CertifiedMay 6, 2026
✔ NPI 1245875236 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.
631 PROFESSIONAL DR STE 490, Lawrenceville, GA 30046

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, 2 practice at this address and 14 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
Urology
NPI 1992768840
631 PROFESSIONAL DR STE 490
Lawrenceville, GA 30046
(770) 995-0424
✔ PECOSSame address
Urology
NPI 1417190901
631 PROFESSIONAL DR STE 490
Lawrenceville, GA 30046
(770) 995-0424
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1326050485
500 MEDICAL CENTER BLVD SUITE 220
Lawrenceville, GA 30046
(770) 963-2451
✔ PECOS✔ Accepts Medicare0.1 mi
Urology
NPI 1558899823
500 MEDICAL CENTER BLVD STE 345
Lawrenceville, GA 30046
(770) 963-2451
✔ PECOS✔ Accepts Medicare0.1 mi
Urology
NPI 1659303808
600 PROFESSIONAL DR SUITE 120
Lawrenceville, GA 30045
(770) 963-8444
✔ PECOS0.5 mi
Urology
NPI 1023422888
850 LAWRENCEVILLE SUWANEE RD STE 101
Lawrenceville, GA 30043
(770) 963-2451
✔ PECOS✔ Accepts Medicare0.6 mi
Urology
NPI 1912141417
850 LAWRENCEVILLE SUWANEE RD STE 101
Lawrenceville, GA 30043
(770) 963-2451
✔ PECOS✔ Accepts Medicare0.6 mi
Urology
NPI 1063918852
850 LAWRENCEVILLE SUWANEE RD STE 101
Lawrenceville, GA 30043
(770) 963-2451
✔ PECOS✔ Accepts Medicare0.6 mi
Urology
NPI 1114356599
1700 TREE LN STE 420
Snellville, GA 30078
(770) 979-9427
✔ PECOS✔ Accepts Medicare5.9 mi
Urology
NPI 1487758017
1700 TREE LN STE 420
Snellville, GA 30078
(770) 979-9427
✔ PECOS✔ Accepts Medicare5.9 mi
Urology
NPI 1134131204
1700 TREE LN SUITE 420
Snellville, GA 30078
(770) 979-9427
✔ PECOS✔ Accepts Medicare5.9 mi
Nurse Practitioner
NPI 1265001184
3790 PLEASANT HILL RD STE 150
Duluth, GA 30096
(770) 979-9427
✔ PECOS✔ Accepts Medicare8.5 mi
Nurse Practitioner
NPI 1134748320
3790 PLEASANT HILL RD STE 150
Duluth, GA 30096
(770) 979-9427
✔ PECOS✔ Accepts Medicare8.6 mi
Urology
NPI 1487068904
3855 PLEASANT HILL RD STE 220
Duluth, GA 30096
(770) 979-9427
✔ PECOS✔ Accepts Medicare8.7 mi
Urology
NPI 1104895762
11459 JOHNS CREEK PKWY SUITE 170
Johns Creek, GA 30097
(678) 417-0400
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1578632808
10730 MEDLOCK BRIDGE RD STE 110
Johns Creek, GA 30097
(678) 344-8900
✔ PECOS11 mi
Nurse Practitioner
NPI 1407439441
7316 SPOUT SPRINGS RD STE 203
Flowery Branch, GA 30542
(678) 205-8387
✔ PECOS✔ Accepts Medicare13 mi
Urology
NPI 1093344517
1223 FRIENDSHIP RD STE 100
Braselton, GA 30517
(678) 205-8387
✔ PECOS✔ Accepts Medicare15 mi
Interventional Radiology
NPI 1467913343
3005 ROYAL BLVD S STE 110
Alpharetta, GA 30022
(770) 800-7917
✔ PECOS✔ Accepts Medicare16 mi
Diagnostic Radiology
NPI 1932284833
4545 HARRIS TRL NW
Atlanta, GA 30327
(404) 277-1502
✔ PECOS25 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 1245875236. It was assigned to this organization in the NPPES registry on November 13, 2019.

Where is Georgia Urology, PA located?

Georgia Urology, PA is located at 631 Professional Dr Ste 490, Lawrenceville, GA 30046. The listed phone number is (770) 995-0424.

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, 2 practice at this address and 14 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.