GAINESVILLE UROLOGY, PC
NPI 1407872872
Specialist in Gainesville, GA
About Gainesville Urology, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GAINESVILLE UROLOGY, PC (NPI 1407872872) is a healthcare organization registered as a specialist in Gainesville, Georgia and active in the NPI registry since July 2006. The organization lists Jodi E Baum, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Gainesville Urology, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
11Medicare enrollment records show 11 clinicians reassign Medicare billing to Gainesville Urology, PC, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 8 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (11)
Gainesville, GA 30501
Gainesville, GA 30501
Gainesville, GA 30501
Gainesville, GA 30501
Gainesville, GA 30501
Gainesville, GA 30501
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Gainesville Urology, PC's NPI number?
The NPI number for Gainesville Urology, PC is 1407872872. It was assigned to this organization in the NPPES registry on July 15, 2006.
Where is Gainesville Urology, PC located?
Gainesville Urology, PC is located at 1240 Jesse Jewell Pkwy Suite 200, Gainesville, GA 30501. The listed phone number is (770) 532-8438.
What is Gainesville Urology, PC's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Gainesville Urology, PC enrolled in Medicare?
Yes. Gainesville Urology, PC is registered in the Medicare PECOS enrollment system.
When is Gainesville Urology, PC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Georgia, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Gainesville Urology, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 2 Medicare specialties reassign their Medicare billing to Gainesville Urology, PC. 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 Urology (7) and Nurse Practitioner (4). Of these, 6 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Gainesville Urology, PC accept?
Health plans from Alliant Health Plans, Inc. list Gainesville Urology, PC 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 Gainesville Urology, PC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Gainesville Urology, Pc · NPI 1407872872
Specialist organization in Gainesville, Georgia. Organization record, active in the CMS NPPES registry since July 15, 2006.
## Identity
- **NPI:** 1407872872 (Entity type: Organization)
- **Enumerated:** July 15, 2006
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Jodi Baum, OFFICE MANAGER
## Practice location
- **Address:** 1240 JESSE JEWELL PKWY, SUITE 200, Gainesville, GA 30501-3862
- **Phone:** (770) 532-8438 · **Fax:** (770) 535-1785
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Georgia, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 11 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Urology (7), Nurse Practitioner (4); 6 practice at this address and 8 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 21, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1407872872) · Data from the CMS NPPES public registry.