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ALBANY UROLOGY SURGERY CENTER
NPI 1346685666
Clinic/Center - Ambulatory Surgical in Albany, GA

Active since April 30, 2013CLIA 11D2068851 · Waiver
2400 OSLER COURT, ALBANY, GA 31707(229) 883-1503(229) 438-2815 Get Directions Write a Review

NPPES record last updated: June 5, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Albany Urology Surgery Center NPPES

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

ALBANY UROLOGY SURGERY CENTER (NPI 1346685666) is a healthcare organization registered as an ambulatory surgical in Albany, Georgia and active in the NPI registry since April 2013. The organization holds a CLIA Waiver certificate valid through November 12, 2027 and lists Michael Dukes, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1346685666
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameALBANY UROLOGY SURGERY CENTER LLC
Location Address2400 OSLER COURTAlbany, GA 31707
Mailing Address2400 Osler CtAlbany, GA 31707-0205 · (229) 883-1503 · Fax (229) 438-2815
Phone(229) 883-1503
Fax(229) 438-2815
Organization SubpartNo
Authorized OfficialMichael DukesPractice Administrator · (229) 449-1676
Enumeration DateApril 30, 2013
Last NPPES UpdateJune 5, 2018
✔ NPI 1346685666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
2400 OSLER COURT, Albany, GA 31707
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Other Names 1

Doing Business AsAlbany Urology Surgery Center

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Albany Urology Surgery Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Albany Urology Surgery Center, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Missy East, NP
Nurse Practitioner
NPI 1295926392
2400 OSLER CT
Albany, GA 31707
(229) 883-1503
✔ PECOSSame address
Khaled Ajib, MD
Urology
NPI 1265019368
2400 OSLER CT
Albany, GA 31707
(229) 883-1503
✔ PECOS✔ Accepts Medicare0.1 mi
Mary Hockman, NP-C
Nurse Practitioner
NPI 1811655814
2400 OSLER CT
Albany, GA 31707
(229) 883-1503
✔ PECOS✔ Accepts Medicare0.1 mi
Michael Daugherty, D.O.
Urology
NPI 1467447938
2400 OSLER CT
Albany, GA 31707
(229) 883-1503
✔ PECOS✔ Accepts Medicare0.1 mi
Michael Monahan, D.O.
Urology
NPI 1114213428
2400 OSLER CT
Albany, GA 31707
(229) 449-1676
✔ PECOS✔ Accepts Medicare0.1 mi
Ashley Gavelek, FNP-C
Nurse Practitioner
NPI 1770082190
1895 KINGSLEY AVE STE 903
Orange Park, FL 32073
(904) 644-8353
✔ PECOS✔ Accepts Medicare178 mi

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 of Waiver 11D2068851

Albany Urology Surgery Center, LLC · Albany, GA
Active · expires Nov 12, 2027
CLIA Number11D2068851
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateNovember 13, 2025
Certificate Expiration DateNovember 12, 2027
Laboratory DirectorDr. Khaled Ajib
Laboratory Phone(229) 883-1503
Laboratory LocationAlbany Urology Surgery Center, LLC2400 Osler Court, Albany, GA 31707
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
123 services115 patients
Ultrasound scan of pelvic region through rectum 76872
An ultrasound scan of the pelvic region through the rectum is a medical procedure where a small, smooth device is gently inserted into the rectum. This device uses sound waves to create images of the internal structures in the lower abdomen, aiding in diagnosis and treatment planning.
118 services117 patients
Insertion of sacral nerve neurostimulator electrode array 64561
The insertion of a sacral nerve neurostimulator electrode array is a procedure where a small device is placed under your skin. This device sends mild electrical pulses to your sacral nerves, which can help manage certain body functions and alleviate symptoms.
70 services29 patients
Imaging of urinary tract following injection of a contrast agent 74420
This procedure involves injecting a contrast agent into your body to help highlight the urinary tract during imaging. The contrast agent makes your urinary tract more visible on the images, providing detailed information about its structure and function. This can help in diagnosing any potential issues.
64 services59 patients
Insertion of tube into ureter using an endoscope through bladder area 52005
This procedure involves the use of a thin, flexible tool called an endoscope. It's inserted through the body's natural pathways to reach the area where urine is transported. A small tube is then placed in this area to help with urine flow or to remove blockages.
52 services49 patients
Biopsy of prostate gland 55700
A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.
45 services45 patients

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 Albany Urology Surgery Center LLC's NPI number?

The NPI number for Albany Urology Surgery Center LLC is 1346685666. It was assigned to this organization in the NPPES registry on April 30, 2013. The provider is doing business as Albany Urology Surgery Center.

Where is Albany Urology Surgery Center LLC located?

Albany Urology Surgery Center LLC is located at 2400 Osler Court, Albany, GA 31707. The listed phone number is (229) 883-1503.

What is Albany Urology Surgery Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Is Albany Urology Surgery Center LLC enrolled in Medicare?

Yes. Albany Urology Surgery Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Albany Urology Surgery Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Albany Urology Surgery Center LLC. 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 Nurse Practitioner (3) and Urology (3). Of these, 1 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Albany Urology Surgery Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2068851) is associated with this NPI, valid through November 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Albany Urology Surgery Center LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Albany Urology Surgery Center 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 Albany Urology Surgery Center LLC was last updated on June 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.