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GEORGIA UROLOGY PA
NPI 1407194558
Urology in Fayetteville, GA

Active since January 24, 2013
1267 HIGHWAY 54 W, SUITE 5200, FAYETTEVILLE, GA 30214(777) 046-0977 Get Directions Write a Review

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

About Georgia Urology Pa NPPES

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

GEORGIA UROLOGY PA (NPI 1407194558) is a healthcare organization registered as an urology in Fayetteville, Georgia and active in the NPI registry since January 2013. The organization lists Dan Fellner, Ceo, as its authorized official.

NPPES Registry Identity

NPI1407194558
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameGEORGIA UROLOGY PA
Location Address1267 HIGHWAY 54 W, SUITE 5200Fayetteville, GA 30214-2114
Mailing Address1930 Brannan RdMcdonough, GA 30253-4310 · (678) 284-4040 · Fax (678) 284-4076
Phone(777) 046-0977
Organization SubpartYes
Authorized OfficialDan FellnerCeo · (678) 205-8360
Enumeration DateJanuary 24, 2013
Last NPPES UpdateMay 6, 2026
NPPES CertifiedMay 6, 2026
✔ NPI 1407194558 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.
1267 HIGHWAY 54 W, Fayetteville, GA 30214
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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 20

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

CONNIE DUPRE MD
Internal Medicine
1267 HIGHWAY 54 W, SUITE 5200
FAYETTEVILLE, GA 30214
Fayette County (770) 719-5601
HANNAH KATHARINE SHELL NP-C
Nurse Practitioner (Family)
1267 HIGHWAY 54 W, STE 2200
FAYETTEVILLE, GA 30214
Fayette County (770) 716-0051
MICHAELA MANIAS
Physician Assistant
1267 HIGHWAY 54 W
FAYETTEVILLE, GA 30214
Fayette County (678) 829-1060
PEACHTREE FAYETTE WOMEN'S SPECIALISTS
Obstetrics & Gynecology
1267 HIGHWAY 54 W, SUITE 3200
FAYETTEVILLE, GA 30214
Fayette County (770) 632-9900
DR. SANJAY SARIN M.D.
Internal Medicine (Cardiovascular Disease)
1267 HIGHWAY 54 W, SUITE 2200
FAYETTEVILLE, GA 30214
Fayette County (770) 716-0051
DR. SAMUEL B BLEUEZ MD
Internal Medicine (Cardiovascular Disease)
1267 HIGHWAY 54 W, SUITE 2200
FAYETTEVILLE, GA 30214
Fayette County (770) 716-0051
TANGELLA E RUSSELL CNP
Nurse Practitioner (Family)
1267 HIGHWAY 54 W, SUITE 2200
FAYETTEVILLE, GA 30214
Fayette County (770) 716-0051
DR. THIPPESWAMY HIREMATHDA MURTHY MD
Internal Medicine (Cardiovascular Disease)
1267 HIGHWAY 54 W, STE 2200
FAYETTEVILLE, GA 30214
Fayette County (770) 716-0051

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 1407194558. It was assigned to this organization in the NPPES registry on January 24, 2013.

Where is Georgia Urology PA located?

Georgia Urology PA is located at 1267 Highway 54 W Suite 5200, Fayetteville, GA 30214. The listed phone number is (777) 046-0977.

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 2 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.