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GEORGIA UROLOGY PA
NPI 1407071699
Urology in Stockbridge, GA

Active since April 15, 2007
119 N PARK TRL, STOCKBRIDGE, GA 30281(770) 389-3739(770) 389-6565 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Georgia Urology Pa NPPES

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

GEORGIA UROLOGY PA (NPI 1407071699) is a healthcare organization registered as an urology in Stockbridge, Georgia and active in the NPI registry since April 2007. The organization lists Dan Fellner, Ceo, as its authorized official.

NPPES Registry Identity

NPI1407071699
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameGEORGIA UROLOGY PA
Location Address119 N PARK TRLStockbridge, GA 30281-7373
Mailing Address1930 Brannan RdMcdonough, GA 30253-4310 · (678) 284-4040 · Fax (678) 284-4076
Phone(770) 389-3739
Fax(770) 389-6565
Organization SubpartYes
Authorized OfficialDan FellnerCeo · (678) 205-8360
Enumeration DateApril 15, 2007
Last NPPES UpdateMay 6, 2026
NPPES CertifiedMay 6, 2026
✔ NPI 1407071699 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.
119 N PARK TRL, Stockbridge, GA 30281
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Other Identifiers 1

Other11D1019886GA · 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

Other Providers at the Same Location NPPES 3

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

EVERY WOMAN'S OB-GYN LLC
Obstetrics & Gynecology
119 N PARK TRL
STOCKBRIDGE, GA 30281
Henry County (678) 881-0020
ANAND T SHANTHA M.D.
Urology
119 N PARK TRL
STOCKBRIDGE, GA 30281
Henry County (770) 389-3739
KAITLYN PIERSON RN
Nurse Practitioner (Women's Health)
119 N PARK TRL
STOCKBRIDGE, GA 30281
Henry County (678) 881-0020

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 1407071699. 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 119 N Park Trl, Stockbridge, GA 30281. The listed phone number is (770) 389-3739.

What is Georgia Urology PA's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

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.