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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: September 06, 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
Phone(678) 494-9201
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
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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

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.

Other Providers at the Same Location NPPES 14

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

CHHAVI V NOOHANI DO
Family Medicine
900 TOWNE LAKE PKWY, STE. 104
WOODSTOCK, GA 30189
Cherokee County (770) 639-5880
GRANT COLLINS WOLFE M.D.
Surgery
900 TOWNE LAKE PKWY, SUITE 412
WOODSTOCK, GA 30189
Cherokee County (770) 924-9656
MRS. MICHELLE KING CLARDY PA-C
Physician Assistant
900 TOWNE LAKE PKWY, STE 404
WOODSTOCK, GA 30189
Cherokee County (770) 926-9229
DR. CESAR ISAAC CRUZ AGUILAR M.D.
Internal Medicine (Clinical Cardiac Electrophysiology)
900 TOWNE LAKE PKWY, STE 400
WOODSTOCK, GA 30189
Cherokee County (770) 924-5095
MRS. NICOLE T RIVERA P.A.,C.
Physician Assistant (Medical)
900 TOWNE LAKE PKWY, SUITE 308
WOODSTOCK, GA 30189
Cherokee County (770) 926-5459
JORGE L LOPEZ PAC
Physician Assistant
900 TOWNE LAKE PKWY, SUITE 400
WOODSTOCK, GA 30189
Cherokee County (770) 924-5095
DR. ROBIN LOE MD
Family Medicine
900 TOWNE LAKE PKWY, STE 410
WOODSTOCK, GA 30189
Cherokee County (678) 445-0819
ASHLEY M ABBOTT MD
Internal Medicine (Rheumatology)
900 TOWNE LAKE PKWY
WOODSTOCK, GA 30189
Cherokee County (770) 852-7790

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.

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 4 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.