GEORGIA UROLOGY PA
NPI 1316162506
Urology in Woodstock, GA

NPI Status: Active since April 15, 2007

Contact Information

900 TOWNE LAKE PKWY
SUITE 200
WOODSTOCK, GA
ZIP 30189
Phone: (678) 494-9201
Fax: (678) 445-6748

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  • Organization
  • Urology
  • CLIA Number: 11D0970876
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 02-28-2028

About GEORGIA UROLOGY PA

This page provides the complete NPI Profile along with additional information for Georgia Urology Pa, a provider established in Woodstock, Georgia operating as a Urology. The healthcare provider is registered in the NPI registry with number 1316162506 assigned on April 2007. The practitioner's primary taxonomy code is 208800000X. The provider is registered as an organization and their NPI record was last updated May 2026. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dan Fellner (Ceo)

NPI
1316162506
Provider Name
GEORGIA UROLOGY PA
Entity Type
Organization
Location Address
900 TOWNE LAKE PKWY SUITE 200 WOODSTOCK, GA 30189
Location Phone
(678) 494-9201
Location Fax
(678) 445-6748
Mailing Address
1930 BRANNAN RD MCDONOUGH, GA 30253
Mailing Phone
(678) 284-4040
Mailing Fax
(678) 445-6748
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-15-2007
Last Update Date
05-06-2026
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Urology

Taxonomy Code
208800000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DAN FELLNER

Authorized Official Title
CEO
Authorized Official Phone
(678) 205-8360

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
11D0970876OTHER (01)GACLIA

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
11D0970876
Facility Type
Physician Office
Certificate Effective Date
February 28, 2026
Certificate Expiration Date
February 28, 2028
Laboratory Director
CARL C. CAPELOUTO
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Georgia Urology Pa in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1316162506, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
1
Doubled → 2
Pos 4
6
Unchanged
Pos 5
1
Doubled → 2
Pos 6
6
Unchanged
Pos 7
2
Doubled → 4
Pos 8
5
Unchanged
Pos 9
0
Doubled → 0
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 1 → 2 2 → 4 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 2 + 6 + 2 + 6 + 4 + 5 + 0 + 24 = 54

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1316162506.

Other Providers at the Same Location


The following 15 providers are registered at the same or a nearby location.

Massage Therapist
900 TOWNE LAKE PKWY, SUITE 410
WOODSTOCK, GA 30189
Family Medicine
900 TOWNE LAKE PKWY, SUITE 210
WOODSTOCK, GA 30189
Obstetrics & Gynecology
900 TOWNE LAKE PKWY, SUITE 404
WOODSTOCK, GA 30189
Physician Assistant
900 TOWNE LAKE PKWY, SUITE 400
WOODSTOCK, GA 30189
Family Medicine
900 TOWNE LAKE PKWY, STE 410
WOODSTOCK, GA 30189
Physician Assistant
900 TOWNE LAKE PKWY, STE 404
WOODSTOCK, GA 30189
Physician Assistant (Medical)
900 TOWNE LAKE PKWY, SUITE 308
WOODSTOCK, GA 30189
Family Medicine
900 TOWNE LAKE PKWY, STE. 104
WOODSTOCK, GA 30189
Advanced Practice Midwife
900 TOWNE LAKE PKWY, STE 404
WOODSTOCK, GA 30189
Family Medicine
900 TOWNE LAKE PKWY, SUITE 210
WOODSTOCK, GA 30189
Internal Medicine (Clinical Cardiac Electrophysiology)
900 TOWNE LAKE PKWY, STE 400
WOODSTOCK, GA 30189
Surgery
900 TOWNE LAKE PKWY, SUITE 412
WOODSTOCK, GA 30189
Family Medicine
900 TOWNE LAKE PKWY, STE 410
WOODSTOCK, GA 30189
Internal Medicine (Rheumatology)
900 TOWNE LAKE PKWY
WOODSTOCK, GA 30189
Nurse Practitioner (Family)
900 TOWNE LAKE PKWY
WOODSTOCK, GA 30189

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316162506, enumerated as an "organization" on April 15, 2007.

The provider is located at 900 TOWNE LAKE PKWY SUITE 200 WOODSTOCK, GA 30189 and the phone number is (678) 494-9201.

Urology with taxonomy code 208800000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.