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GEORGIA UROLOGY PA
NPI 1336364520
Urology in Cartersville, GA

Active since April 15, 2007CLIA 11D0943322 · Microscopy
9 MEDICAL DR NE STE A, CARTERSVILLE, GA 30121(770) 607-1893(770) 607-2930 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 6, 2026, May 29, 2025 (2 updates tracked since 2025).

About Georgia Urology Pa NPPES

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

GEORGIA UROLOGY PA (NPI 1336364520) is a healthcare organization registered as an urology in Cartersville, Georgia and active in the NPI registry since April 2007. The organization holds a CLIA Microscopy certificate valid through March 24, 2028 and lists Dan Fellner, Ceo, as its authorized official.

NPPES Registry Identity

NPI1336364520
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameGEORGIA UROLOGY PA
Location Address9 MEDICAL DR NE STE ACartersville, GA 30121-8003
Mailing Address1930 Brannan RdMcdonough, GA 30253-4310 · (678) 284-4040 · Fax (678) 284-4076
Phone(770) 607-1893
Fax(770) 607-2930
Organization SubpartYes
Authorized OfficialDan FellnerCeo · (678) 205-8360
Enumeration DateApril 15, 2007
Last NPPES UpdateMay 6, 20262 updates tracked since enumeration
NPPES CertifiedMay 6, 2026
✔ NPI 1336364520 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.
9 MEDICAL DR NE STE A, Cartersville, GA 30121
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Other Identifiers 1

Other11D0943322GA · 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) 11D0943322

Georgia Urology PA Cartersville · Cartersville, GA
Active · expires Mar 24, 2028
CLIA Number11D0943322
Laboratory TypePhysician Office
Certificate Effective DateMarch 25, 2026
Certificate Expiration DateMarch 24, 2028
Laboratory DirectorJeffrey G. Proctor
Laboratory Phone(770) 607-1893
Laboratory LocationGeorgia Urology PA Cartersville9 Medical Drive NE, Suite A, Cartersville, GA 30121
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

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

BRANDI D KNIGHT FNP
Nurse Practitioner
9 MEDICAL DR NE STE A
CARTERSVILLE, GA 30121
Bartow County (770) 607-1893

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 1336364520. 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 9 Medical Dr NE Ste A, Cartersville, GA 30121. The listed phone number is (770) 607-1893.

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 11D0943322) is associated with this NPI, valid through March 24, 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 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.