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GEORGIA UROLOGY PA
NPI 1417297391
Urology in Cumming, GA

Active since February 28, 2013
1100 NORTHSIDE FORSYTH DR, SUITE 410, CUMMING, GA 30041(678) 947-6199(678) 947-6641 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Georgia Urology Pa NPPES

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

GEORGIA UROLOGY PA (NPI 1417297391) is a healthcare organization registered as an urology in Cumming, Georgia and active in the NPI registry since February 2013. The organization lists Dan Fellner, Ceo, as its authorized official.

NPPES Registry Identity

NPI1417297391
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameGEORGIA UROLOGY PA
Location Address1100 NORTHSIDE FORSYTH DR, SUITE 410Cumming, GA 30041-6012
Mailing Address1930 Brannan RdMcdonough, GA 30253-4310 · (678) 284-4040 · Fax (678) 284-4076
Phone(678) 947-6199
Fax(678) 947-6641
Organization SubpartYes
Authorized OfficialDan FellnerCeo · (678) 205-8360
Enumeration DateFebruary 28, 2013
Last NPPES UpdateMay 6, 2026
NPPES CertifiedMay 6, 2026
✔ NPI 1417297391 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.
1100 NORTHSIDE FORSYTH DR, Cumming, GA 30041
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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Georgia Urology Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

115

Medicare enrollment records show 115 clinicians reassign Medicare billing to Georgia Urology PA, which bills Medicare for the services they deliver. Of these, 6 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Urology83
Nurse Practitioner29
Interventional Radiology2
Diagnostic Radiology1

Nearest to this location (20)

See all 115
Anand Mohapatra, MD
Urology
NPI 1982068904
1800 NORTHSIDE FORSYTH DR STE 370
Cumming, GA 30041
(770) 889-9737
✔ PECOS✔ Accepts Medicare0.2 mi
Jalpa Patel, NP
Nurse Practitioner
NPI 1134862915
1800 NORTHSIDE FORSYTH DR STE 370
Cumming, GA 30041
(708) 899-7377
✔ PECOS✔ Accepts Medicare0.2 mi
Julia Branch, NURSE PRACTITIONER
Nurse Practitioner
NPI 1033600341
1800 NORTHSIDE FORSYTH DR STE 370
Cumming, GA 30041
(770) 889-9737
✔ PECOS✔ Accepts Medicare0.2 mi
Anthony Hiffa
Urology
NPI 1831671536
1800 NORTHSIDE FORSYTH DR STE 370
Cumming, GA 30041
(770) 889-9737
✔ PECOS✔ Accepts Medicare0.2 mi
Jerry Yuan, M.D.
Urology
NPI 1104895762
11459 JOHNS CREEK PKWY SUITE 170
Johns Creek, GA 30097
(678) 417-0400
✔ PECOS✔ Accepts Medicare8.7 mi
Diane Spiva, CRNP
Nurse Practitioner
NPI 1578632808
10730 MEDLOCK BRIDGE RD STE 110
Johns Creek, GA 30097
(678) 344-8900
✔ PECOS9.8 mi
Robert Esposito, MD
Interventional Radiology
NPI 1467913343
3005 ROYAL BLVD S STE 110
Alpharetta, GA 30022
(770) 800-7917
✔ PECOS✔ Accepts Medicare12 mi
John Buchanan, FNP
Nurse Practitioner
NPI 1265001184
3790 PLEASANT HILL RD STE 150
Duluth, GA 30096
(770) 979-9427
✔ PECOS✔ Accepts Medicare12 mi
Joseph Song, MA, MD
Urology
NPI 1487068904
3855 PLEASANT HILL RD STE 220
Duluth, GA 30096
(770) 979-9427
✔ PECOS✔ Accepts Medicare12 mi
Adity Dutta
Nurse Practitioner
NPI 1134748320
3790 PLEASANT HILL RD STE 150
Duluth, GA 30096
(770) 979-9427
✔ PECOS✔ Accepts Medicare13 mi
Cassidy Banks, NP
Nurse Practitioner
NPI 1982309357
11835 ALPHARETTA HWY STE 101
Roswell, GA 30076
(770) 475-7550
✔ PECOS✔ Accepts Medicare13 mi
Corie Grabowski, FNP-C
Nurse Practitioner
NPI 1023527264
11835 ALPHARETTA HWY STE 101
Roswell, GA 30076
(704) 757-5507
✔ PECOS✔ Accepts Medicare13 mi
Akash Kapadia, M.D.
Urology
NPI 1881012391
11835 ALPHARETTA HWY STE 101
Roswell, GA 30076
(770) 475-7550
✔ PECOS✔ Accepts Medicare13 mi
Daniel Belew, M.D.
Urology
NPI 1306229851
1357 HEMBREE RD STE 250
Roswell, GA 30076
(770) 475-7550
✔ PECOS✔ Accepts Medicare13 mi
Adamantios Mellis, MD
Urology
NPI 1386870731
1357 HEMBREE RD STE 250
Roswell, GA 30076
(678) 284-4040
✔ PECOS✔ Accepts Medicare13 mi
Harry Rutland, MD
Urology
NPI 1528163748
1357 HEMBREE ROAD SUITE 250
Roswell, GA 30076
(770) 475-7550
✔ PECOS✔ Accepts Medicare13 mi
David Banks, MD
Urology
NPI 1942305164
1357 HEMBREE RD SUITE 250
Roswell, GA 30076
(770) 475-7550
✔ PECOS✔ Accepts Medicare13 mi
Patricia Shelton, NP
Nurse Practitioner
NPI 1407439441
7316 SPOUT SPRINGS RD STE 203
Flowery Branch, GA 30542
(678) 205-8387
✔ PECOS✔ Accepts Medicare16 mi
Michael Butzen, DNP
Nurse Practitioner
NPI 1760036776
1223 FRIENDSHIP RD. BLDG. 400, SUITE 100
Braselton, GA 30517
(678) 205-8387
✔ PECOS✔ Accepts Medicare18 mi
Jin Park, M.D.
Interventional Radiology
NPI 1649399338
1000 JOHNSON FERRY RD NE RADIOLOGY DEPARTMENT
Atlanta, GA 30342
(404) 851-6323
✔ PECOS✔ Accepts Medicare22 mi
See all 115 clinicians

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 Georgia Urology PA's NPI number?

The NPI number for Georgia Urology PA is 1417297391. It was assigned to this organization in the NPPES registry on February 28, 2013.

Where is Georgia Urology PA located?

Georgia Urology PA is located at 1100 Northside Forsyth Dr Suite 410, Cumming, GA 30041. The listed phone number is (678) 947-6199.

What is Georgia Urology PA's specialty?

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

Is Georgia Urology PA enrolled in Medicare?

Yes. Georgia Urology PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Georgia Urology PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 115 clinicians in 4 Medicare specialties reassign their Medicare billing to Georgia Urology PA. 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 (83), Nurse Practitioner (29) and Interventional Radiology (2). Of these, 6 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 6 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.