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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ADVANCED UROLOGY INSTITUTE OF GEORGIA, LLC
NPI 1295382778
Urology in Marietta, GA

Active since August 20, 2019CLIA 11D2265486 · Waiver
1371 CHURCH STREET EXT NE STE 200, MARIETTA, GA 30060(678) 344-8900(678) 666-5201 Get Directions Write a Review

NPPES record last updated: September 23, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 23, 2026, Sep 15, 2026, Jun 27, 2025 and 4 more (7 updates tracked since 2019).

About Advanced Urology Institute Of Georgia, Llc NPPES

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

ADVANCED UROLOGY INSTITUTE OF GEORGIA, LLC (NPI 1295382778) is a healthcare organization registered as an urology in Marietta, Georgia and active in the NPI registry since August 2019. The organization holds a CLIA Waiver certificate valid through July 27, 2028 and lists Beemal Shah, Ceo, as its authorized official.

NPPES Registry Identity

NPI1295382778
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameADVANCED UROLOGY INSTITUTE OF GEORGIA, LLC
Location Address1371 CHURCH STREET EXT NE STE 200Marietta, GA 30060-7913
Mailing Address1551 Janmar RdSnellville, GA 30078-5606 · (678) 344-8900 · Fax (678) 666-5201
Phone(678) 344-8900
Fax(678) 666-5201
Organization SubpartNo
Authorized OfficialBeemal ShahCeo · (706) 951-8657
Enumeration DateAugust 20, 2019
Last NPPES UpdateSeptember 23, 20267 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2026
✔ NPI 1295382778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedClinic/CenterTaxonomy 261Q00000X
1371 CHURCH STREET EXT NE STE 200, Marietta, GA 30060
Open in Google Maps ↗

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 of Waiver 11D2265486

Advanced Urology Institute Of Georgia, PC · Conyers, GA
Active · expires Jul 27, 2028
CLIA Number11D2265486
Laboratory TypePhysician Office
Certificate Effective DateJuly 28, 2026
Certificate Expiration DateJuly 27, 2028
Laboratory DirectorBhavik Shah
Laboratory Phone(678) 344-8900
Laboratory LocationAdvanced Urology Institute Of Georgia, PC1366 Wellbrook Circle NE Suite B, Conyers, GA 30012
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

IONELA ANCA TURCIN PA-C
Physician Assistant (Surgical)
1371 CHURCH STREET EXT NE STE 200
MARIETTA, GA 30060
Cobb County (678) 344-8900
SARA STEPHANO ADAMS PA-C
Physician Assistant (Surgical)
1371 CHURCH STREET EXT NE STE 200
MARIETTA, GA 30060
Cobb County (678) 344-8900
DR. CHIRAG NIRANJAN DAVE M.D.
Urology
1371 CHURCH STREET EXT NE STE 200
MARIETTA, GA 30060
Cobb County (678) 344-8900
LACEY ANTE PA-C
Physician Assistant (Surgical)
1371 CHURCH STREET EXT NE STE 200
MARIETTA, GA 30060
Cobb County (678) 344-8900
DANIEL S ROBERSON PA-C
Physician Assistant (Surgical)
1371 CHURCH STREET EXT NE STE 200
MARIETTA, GA 30060
Cobb County (678) 344-8900
SHANE ELLISON BELL PA-C
Physician Assistant (Surgical)
1371 CHURCH STREET EXT NE STE 200
MARIETTA, GA 30060
Cobb County (678) 931-8091

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 Advanced Urology Institute Of Georgia, LLC's NPI number?

The NPI number for Advanced Urology Institute Of Georgia, LLC is 1295382778. It was assigned to this organization in the NPPES registry on August 20, 2019.

Where is Advanced Urology Institute Of Georgia, LLC located?

Advanced Urology Institute Of Georgia, LLC is located at 1371 Church Street Ext NE Ste 200, Marietta, GA 30060. The listed phone number is (678) 344-8900.

What is Advanced Urology Institute Of Georgia, LLC's specialty?

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

Does Advanced Urology Institute Of Georgia, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2265486) is associated with this NPI, valid through July 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Advanced Urology Institute Of Georgia, LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Advanced Urology Institute Of Georgia, 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 Advanced Urology Institute Of Georgia, LLC was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.