GEORGIA UROLOGY, PA
NPI 1629222815
Clinic/Center - Ambulatory Surgical in Conyers, GA

Q: What is Georgia Urology, PA's NPI number?

The NPI number for Georgia Urology, PA is 1629222815. It was assigned to this organization in the NPPES registry on November 14, 2008. The provider is also known as Georgia Urology ASC Conyers.

Q: What is Georgia Urology, PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since November 14, 2008

1301 SIGMAN RD NE STE 250B, CONYERS, GA 30012(770) 760-9900(770) 760-1709 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 5, 2026, Jan 14, 2019 (2 updates tracked since 2019).

On this page

About Georgia Urology, Pa NPPES

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

GEORGIA UROLOGY, PA (NPI 1629222815) is a healthcare organization registered as an ambulatory surgical in Conyers, Georgia and active in the NPI registry since November 2008. The organization lists Dan Fellner, Ceo, as its authorized official.

NPPES Registry Identity

NPI1629222815

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameGEORGIA UROLOGY, PA

Location Address1301 SIGMAN RD NE STE 250BConyers, GA 30012-3812

Mailing Address1930 Brannan RdMcdonough, GA 30253-4310 · (678) 284-4040 · Fax (678) 284-4076

Phone(770) 760-9900

Fax(770) 760-1709

Organization SubpartYesParent: Georgia Urology Pa

Authorized OfficialDan FellnerCeo · (678) 205-8360

Enumeration DateNovember 14, 2008

Last NPPES UpdateMay 5, 20262 updates tracked since enumeration

NPPES CertifiedMay 5, 2026

✔ NPI 1629222815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

1301 SIGMAN RD NE STE 250B, Conyers, GA 30012

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Other Names 1

Other NameGeorgia Urology Asc Conyers

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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

Medicare enrollment records show 1 clinician reassigns Medicare billing to Georgia Urology, PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Vahan Kassabian, M.D.

Urology

NPI 1730283284

11660 ALPHARETTA HWY
Roswell, GA 30076

(678) 344-8900

✔ PECOS✔ Accepts Medicare32 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

227 services204 patients

Ultrasound scan of pelvic region through rectum 76872

An ultrasound scan of the pelvic region through the rectum is a medical procedure where a small, smooth device is gently inserted into the rectum. This device uses sound waves to create images of the internal structures in the lower abdomen, aiding in diagnosis and treatment planning.

73 services72 patients

Biopsy of prostate gland 55700

A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.

32 services32 patients

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 1629222815. It was assigned to this organization in the NPPES registry on November 14, 2008. The provider is also known as Georgia Urology ASC Conyers.

Where is Georgia Urology, PA located?

Georgia Urology, PA is located at 1301 Sigman Rd NE Ste 250B, Conyers, GA 30012. The listed phone number is (770) 760-9900.

What is Georgia Urology, PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

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), 1 clinician (Urology) reassigns 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Georgia Urology, PA accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Georgia Urology, PA 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 Georgia Urology, PA was last updated on May 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.