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GEORGIA UROLOGY, PA
NPI 1457009664
Urology in Canton, GA

Active since March 16, 2022
100 LIBERTY BLVD STE 240, CANTON, GA 30114(770) 720-7246 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Georgia Urology, Pa NPPES

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

GEORGIA UROLOGY, PA (NPI 1457009664), doing business as Canton Office At Liberty Blvd, is a healthcare organization registered as an urology in Canton, Georgia and active in the NPI registry since March 2022. The organization lists Dan Fellner, Ceo, as its authorized official.

NPPES Registry Identity

NPI1457009664
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameGEORGIA UROLOGY, PA
Location Address100 LIBERTY BLVD STE 240Canton, GA 30114-2852
Mailing Address1930 Brannan RdMcdonough, GA 30253-4310
Phone(770) 720-7246
Organization SubpartNo
Authorized OfficialDan FellnerCeo · (678) 205-8360
Enumeration DateMarch 16, 2022
Last NPPES UpdateMay 6, 2026
NPPES CertifiedMay 6, 2026
✔ NPI 1457009664 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.
100 LIBERTY BLVD STE 240, Canton, GA 30114
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Other Names 1

Doing Business AsCanton Office At Liberty Blvd

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

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 1457009664. It was assigned to this organization in the NPPES registry on March 16, 2022. The provider is doing business as Canton Office at Liberty Blvd.

Where is Georgia Urology, PA located?

Georgia Urology, PA is located at 100 Liberty Blvd Ste 240, Canton, GA 30114. The listed phone number is (770) 720-7246.

What is Georgia Urology, PA's specialty?

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

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 3 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.