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GEORGIA UROLOGY PA
NPI 1447772348
Urology in Marietta, GA

Active since July 12, 2017CLIA 11D2136941 · Microscopy
4800 OLDE TOWNE PKWY STE 220, MARIETTA, GA 30068(404) 256-1844 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: May 6, 2026, Jul 12, 2017 (2 updates tracked since 2017).

About Georgia Urology Pa NPPES

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

GEORGIA UROLOGY PA (NPI 1447772348) is a healthcare organization registered as an urology in Marietta, Georgia and active in the NPI registry since July 2017. The organization holds a CLIA Microscopy certificate valid through September 18, 2027 and lists Dan Fellner, Ceo, as its authorized official.

NPPES Registry Identity

NPI1447772348
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameGEORGIA UROLOGY PA
Location Address4800 OLDE TOWNE PKWY STE 220Marietta, GA 30068-4391
Mailing Address1930 Brannan RdMcdonough, GA 30253-4310
Phone(404) 256-1844
Organization SubpartYes
Authorized OfficialDan FellnerCeo · (678) 205-8360
Enumeration DateJuly 12, 2017
Last NPPES UpdateMay 6, 20262 updates tracked since enumeration
NPPES CertifiedMay 6, 2026
✔ NPI 1447772348 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.
4800 OLDE TOWNE PKWY STE 220, Marietta, GA 30068
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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

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 for Provider-Performed Microscopy Procedures (PPMP) 11D2136941

Georgia Urology - East Cobb · Marietta, GA
Active · expires Sep 18, 2027
CLIA Number11D2136941
Laboratory TypePhysician Office
Certificate Effective DateSeptember 19, 2025
Certificate Expiration DateSeptember 18, 2027
Laboratory DirectorKristi Hebert
Laboratory Phone(404) 252-8227
Laboratory LocationGeorgia Urology - East Cobb4800 Olde Towne Parkway, Suite 220, Marietta, GA 30068
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 1447772348. It was assigned to this organization in the NPPES registry on July 12, 2017.

Where is Georgia Urology PA located?

Georgia Urology PA is located at 4800 Olde Towne Pkwy Ste 220, Marietta, GA 30068. The listed phone number is (404) 256-1844.

What is Georgia Urology PA's specialty?

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

Does Georgia Urology PA hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 11D2136941) is associated with this NPI, valid through September 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 4 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.