1. Home
  2. Directory
  3. Georgia
  4. Gainesville
  5. Specialist
  6. NPI Profile

GAINESVILLE UROLOGY, PC
NPI 1407872872
Specialist in Gainesville, GA

Active since July 15, 2006CLIA 11D0261403 · Waiver
1240 JESSE JEWELL PKWY, SUITE 200, GAINESVILLE, GA 30501(770) 532-8438(770) 535-1785 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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 holds a CLIA Waiver certificate valid through February 15, 2028 and lists Jodi E Baum, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1407872872
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameGAINESVILLE UROLOGY, PC
Location Address1240 JESSE JEWELL PKWY, SUITE 200Gainesville, GA 30501-3862
Mailing Address1240 Jesse Jewell Pkwy, Suite 200Gainesville, GA 30501-3862 · (770) 532-8438 · Fax (770) 535-1785
Phone(770) 532-8438
Fax(770) 535-1785
Organization SubpartNo
Authorized OfficialJodi E BaumOffice Manager · (770) 532-8227
Enumeration DateJuly 15, 2006
Last NPPES UpdateJuly 21, 2022
✔ NPI 1407872872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1240 JESSE JEWELL PKWY, Gainesville, GA 30501
Open in Google Maps ↗

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

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 11D0261403

Gainesville Urology · Gainesville, GA
Active · expires Feb 15, 2028
CLIA Number11D0261403
Laboratory TypePhysician Office
Certificate Effective DateFebruary 16, 2026
Certificate Expiration DateFebruary 15, 2028
Laboratory DirectorDr. Timothy Craig Brock
Laboratory Phone(770) 532-8438
Laboratory LocationGainesville Urology1240 Jesse Jewell Parkway Suite 200, Gainesville, GA 30501
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

DR. BENJAMIN N PUCKETT M.D.
Orthopaedic Surgery
1240 JESSE JEWELL PKWY, STE 300
GAINESVILLE, GA 30501
Hall County (770) 532-7202
DR. DAVID S WOO M.D.
Urology
1240 JESSE JEWELL PKWY, SUITE 200
GAINESVILLE, GA 30501
Hall County (770) 532-8438
MORGAN T LEDFORD
Specialist/Technologist (Athletic Trainer)
1240 JESSE JEWELL PKWY, STE 300
GAINESVILLE, GA 30501
Hall County (770) 534-7200

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.

Does Gainesville Urology, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0261403) is associated with this NPI, valid through February 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 with the weekly NPPES data releases published by CMS.