GEORGIA UROLOGY PA
NPI 1447772348
Urology in Marietta, GA
- Organization
- Urology
- CLIA Number: 11D2136941
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 09-18-2027
About GEORGIA UROLOGY PA
This page provides the complete NPI Profile along with additional information for Georgia Urology Pa, a provider established in Marietta, Georgia operating as a Urology. The healthcare provider is registered in the NPI registry with number 1447772348 assigned on July 2017. The practitioner's primary taxonomy code is 208800000X. The provider is registered as an organization and their NPI record was last updated May 2026. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dan Fellner (Ceo)
- NPI
- 1447772348 Verify this NPI
- Provider Name
- GEORGIA UROLOGY PA
- Entity Type
- Organization
- Location Address
- 4800 OLDE TOWNE PKWY STE 220 MARIETTA, GA 30068
- Location Phone
- (404) 256-1844
- Mailing Address
- 1930 BRANNAN RD MCDONOUGH, GA 30253
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 07-12-2017
- Last Update Date
- 05-06-2026
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Urology
- Taxonomy Code
- 208800000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 11D2136941
- Facility Type
- Physician Office
- Certificate Effective Date
- September 19, 2025
- Certificate Expiration Date
- September 18, 2027
- Laboratory Director
- KRISTI HEBERT
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Georgia Urology Pa in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1447772348, enumerated as an "organization" on July 12, 2017.
The provider is located at 4800 OLDE TOWNE PKWY STE 220 MARIETTA, GA 30068 and the phone number is (404) 256-1844.
Urology with taxonomy code 208800000X.
