GEORGIA UROLOGY PA
NPI 1316162506
Urology in Woodstock, GA

Active since April 15, 2007CLIA 11D0970876 · Microscopy
900 TOWNE LAKE PKWY, SUITE 200, WOODSTOCK, GA 30189(678) 494-9201(678) 445-6748 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Georgia Urology Pa NPPES

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

GEORGIA UROLOGY PA (NPI 1316162506) is a healthcare organization registered as an urology in Woodstock, Georgia and active in the NPI registry since April 2007. The organization holds a CLIA Microscopy certificate valid through February 28, 2028 and lists Dan Fellner, Ceo, as its authorized official.

NPPES Registry Identity

NPI1316162506
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameGEORGIA UROLOGY PA
Location Address900 TOWNE LAKE PKWY, SUITE 200Woodstock, GA 30189-1600
Mailing Address1930 Brannan RdMcdonough, GA 30253-4310 · (678) 284-4040 · Fax (678) 284-4076
Fax(678) 445-6748
Organization SubpartYes
Authorized OfficialDan FellnerCeo · (678) 205-8360
Enumeration DateApril 15, 2007
Last NPPES UpdateMay 6, 2026
NPPES CertifiedMay 6, 2026
✔ NPI 1316162506 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.
900 TOWNE LAKE PKWY, Woodstock, GA 30189

Other Identifiers 1

Other11D0970876GA · 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, 1 practice at this address and 9 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
Nurse Practitioner
NPI 1821434572
900 TOWNE LAKE PKWY STE 200
Woodstock, GA 30189
(678) 494-9201
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1801545793
100 CHURCHILL CT STE 105
Woodstock, GA 30188
(404) 420-2728
✔ PECOS1.9 mi
Urology
NPI 1760594303
790 CHURCH ST NE SUITE 430
Marietta, GA 30060
(770) 429-9100
✔ PECOS✔ Accepts Medicare9.2 mi
Urology
NPI 1053612101
790 CHURCH ST NE SUITE 430
Marietta, GA 30060
(770) 429-9100
✔ PECOS✔ Accepts Medicare9.2 mi
Urology
NPI 1548653199
470 NORTHSIDE CHEROKEE BLVD STE 201
Canton, GA 30115
(770) 720-7246
✔ PECOS✔ Accepts Medicare9.5 mi
Urology
NPI 1366076945
470 NORTHSIDE CHEROKEE BLVD STE 201
Canton, GA 30115
(770) 720-7246
✔ PECOS✔ Accepts Medicare9.5 mi
Urology
NPI 1346342128
55 WHITCHER ST NE STE 250
Marietta, GA 30060
(770) 428-4475
✔ PECOS✔ Accepts Medicare9.5 mi
Urology
NPI 1538277710
470 NORTHSIDE CHEROKEE BLVD STE 201
Canton, GA 30115
(770) 720-7246
✔ PECOS✔ Accepts Medicare9.6 mi
Urology
NPI 1407388911
470 NORTHSIDE CHEROKEE BLVD STE 201
Canton, GA 30115
(770) 720-7246
✔ PECOS✔ Accepts Medicare9.6 mi
Nurse Practitioner
NPI 1407290273
320 HOSPITAL RD
Canton, GA 30114
(770) 479-5535
✔ PECOS✔ Accepts Medicare10 mi
Urology
NPI 1447592902
145 RIVERSTONE TER STE 101
Canton, GA 30114
(770) 720-7246
✔ PECOS✔ Accepts Medicare11 mi
Urology
NPI 1447363163
2500 HOSPITAL BLVD STE 290
Roswell, GA 30076
(470) 956-4230
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1982309357
11835 ALPHARETTA HWY STE 101
Roswell, GA 30076
(770) 475-7550
✔ PECOS✔ Accepts Medicare13 mi
Nurse Practitioner
NPI 1023527264
11835 ALPHARETTA HWY STE 101
Roswell, GA 30076
(704) 757-5507
✔ PECOS✔ Accepts Medicare13 mi
Urology
NPI 1881012391
11835 ALPHARETTA HWY STE 101
Roswell, GA 30076
(770) 475-7550
✔ PECOS✔ Accepts Medicare13 mi
Urology
NPI 1942305164
1357 HEMBREE RD SUITE 250
Roswell, GA 30076
(770) 475-7550
✔ PECOS✔ Accepts Medicare13 mi
Interventional Radiology
NPI 1467913343
3005 ROYAL BLVD S STE 110
Alpharetta, GA 30022
(770) 800-7917
✔ PECOS✔ Accepts Medicare15 mi
Nurse Practitioner
NPI 1184578916
5730 GLENRIDGE DR STE 200
Atlanta, GA 30328
(404) 256-1844
✔ PECOS✔ Accepts Medicare16 mi
Diagnostic Radiology
NPI 1932284833
4545 HARRIS TRL NW
Atlanta, GA 30327
(404) 277-1502
✔ PECOS17 mi
Interventional Radiology
NPI 1649399338
1000 JOHNSON FERRY RD NE RADIOLOGY DEPARTMENT
Atlanta, GA 30342
(404) 851-6323
✔ PECOS✔ Accepts Medicare17 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.

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) 11D0970876

Georgia Urology PA Woodstock · Woodstock, GA
Active · expires Feb 28, 2028
CLIA Number11D0970876
Laboratory TypePhysician Office
Certificate Effective DateFebruary 28, 2026
Certificate Expiration DateFebruary 28, 2028
Laboratory DirectorCarl C. Capelouto
Laboratory Phone(678) 494-9201
Laboratory LocationGeorgia Urology PA Woodstock900 Towne Lake Parkway, Suite 200, Woodstock, GA 30189
CLIA data matches this NPI record on: Address 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.

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 1316162506. It was assigned to this organization in the NPPES registry on April 15, 2007.

Where is Georgia Urology PA located?

Georgia Urology PA is located at 900 Towne Lake Pkwy Suite 200, Woodstock, GA 30189. The listed phone number is (678) 494-9201.

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, 1 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Georgia Urology PA hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 11D0970876) is associated with this NPI, valid through February 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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.