GEORGIA UROLOGY FAYETTE ASC
NPI 1265679674
Clinic/Center - Ambulatory Surgical in Fayetteville, GA

Active since January 07, 2009
1336 HWY 54W, BLDG 100, SUITE 101, FAYETTEVILLE, GA 30214(770) 460-9777(770) 460-0650 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 5, 2026, Aug 14, 2025 (2 updates tracked since 2025).

About Georgia Urology Fayette Asc NPPES

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

GEORGIA UROLOGY FAYETTE ASC (NPI 1265679674) is a healthcare organization registered as an ambulatory surgical in Fayetteville, Georgia and active in the NPI registry since January 2009. The organization lists Dan Fellner, Ceo, as its authorized official.

NPPES Registry Identity

NPI1265679674
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameGEORGIA UROLOGY FAYETTE ASC
Location Address1336 HWY 54W, BLDG 100, SUITE 101Fayetteville, GA 30214
Mailing Address1930 Brannan RdMcdonough, GA 30253-4310 · (678) 284-4040 · Fax (678) 284-4076
Fax(770) 460-0650
Organization SubpartYesParent: Georgia Urology Pa
Authorized OfficialDan FellnerCeo · (678) 205-8360
Enumeration DateJanuary 7, 2009
Last NPPES UpdateMay 5, 20262 updates tracked since enumeration
NPPES CertifiedMay 5, 2026
NPI 1265679674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
1336 HWY 54W, Fayetteville, GA 30214

Accepted Insurance

Areas of Expertise CMS Part B claims 14

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.
3,800 services25 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.
571 services510 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.
150 services149 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.
74 services74 patients
Insertion of sacral nerve neurostimulator electrode array 64561
The insertion of a sacral nerve neurostimulator electrode array is a procedure where a small device is placed under your skin. This device sends mild electrical pulses to your sacral nerves, which can help manage certain body functions and alleviate symptoms.
59 services30 patients
Exam with injections of chemical for destruction of bladder using an endoscope 52287
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.
36 services26 patients

Other Providers at the Same Location NPPES 2

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

Physician Assistant
1336 HWY 54W, BLDG. 100, SUITE 100
FAYETTEVILLE, GA 30214
Physician Assistant
1336 HWY 54W, BLDG. 100, SUITE 100
FAYETTEVILLE, GA 30214

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 Fayette ASC's NPI number?

The NPI number for Georgia Urology Fayette ASC is 1265679674. It was assigned to this organization in the NPPES registry on January 7, 2009.

Where is Georgia Urology Fayette ASC located?

Georgia Urology Fayette ASC is located at 1336 Hwy 54W Bldg 100, Suite 101, Fayetteville, GA 30214. The listed phone number is (770) 460-9777.

What is Georgia Urology Fayette ASC's specialty?

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

What insurance does Georgia Urology Fayette ASC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Georgia Urology Fayette ASC 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 Fayette ASC was last updated on May 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.