UROLOGY OF GREATER ATLANTA LLC
NPI 1669570990
Specialist in Stockbridge, GA

Active since September 20, 2006CLIA Certified · 6 labs
180 N PARK TRL STE 100, STOCKBRIDGE, GA 30281(770) 474-5281(770) 389-8674 Get Directions Write a Review

NPPES record last updated: October 7, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 7, 2024, May 17, 2023, Oct 2, 2020 (3 updates tracked since 2020).

About Urology Of Greater Atlanta Llc NPPES

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

UROLOGY OF GREATER ATLANTA LLC (NPI 1669570990) is a healthcare organization registered as a specialist in Stockbridge, Georgia and active in the NPI registry since September 2006. The organization holds 6 active CLIA laboratory certificates and lists Cheris L Craig, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1669570990
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameUROLOGY OF GREATER ATLANTA LLC
Location Address180 N PARK TRL STE 100Stockbridge, GA 30281-7372
Mailing Address180 N Park Trl Ste 100Stockbridge, GA 30281-7372 · (770) 474-5281 · Fax (770) 389-8674
Fax(770) 389-8674
Organization SubpartNo
Authorized OfficialCheris L CraigExecutive Director · (770) 474-5281
Enumeration DateSeptember 20, 2006
Last NPPES UpdateOctober 7, 20243 updates tracked since enumeration
NPPES CertifiedOctober 7, 2024
✔ NPI 1669570990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
180 N PARK TRL STE 100, Stockbridge, GA 30281

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

Accepted 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)

Urology Of Greater Atlanta Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

13

Medicare enrollment records show 13 clinicians reassign Medicare billing to Urology Of Greater Atlanta LLC, which bills Medicare for the services they deliver. Of these, 11 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 3

Urology10
Diagnostic Radiology2
Pathology1

Clinicians, nearest first (13)

Pathology
NPI 1952565947
180 N PARK TRAIL
Stockbridge, GA 30281
(678) 902-9412
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1033217252
180 N PARK TRL STE 100
Stockbridge, GA 30281
(770) 474-5281
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1275737066
180 N PARK TRL STE 100
Stockbridge, GA 30281
(770) 474-5281
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1841284718
180 N PARK TRL STE 100
Stockbridge, GA 30281
(770) 474-5281
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1942278874
180 N PARK TRL STE 100
Stockbridge, GA 30281
(770) 474-5281
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1326146507
180 N PARK TRL STE 100
Stockbridge, GA 30281
(770) 474-5281
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1225534316
180 N PARK TRL STE 100
Stockbridge, GA 30281
(770) 474-5281
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1518065754
180 N PARK TRL STE 100
Stockbridge, GA 30281
(770) 474-5281
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1265850465
180 N PARK TRL STE 100
Stockbridge, GA 30281
(770) 474-5281
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1639521420
180 N PARK TRL STE 100
Stockbridge, GA 30281
(770) 474-5281
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1144614355
180 N PARK TRL STE 100
Stockbridge, GA 30281
(770) 474-5281
✔ PECOS✔ Accepts MedicareSame address
Diagnostic Radiology
NPI 1972701001
3599 UNIVERSITY BLVD. S. BLDG. 300
Jacksonville, FL 32216
(904) 399-5550
✔ PECOS✔ Accepts Medicare270 mi
Diagnostic Radiology
NPI 1851657571
12109 COUNTY ROAD 103
Oxford, FL 34484
(352) 430-0705
✔ PECOS✔ Accepts Medicare341 mi

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

CLIA Laboratory Certificates CMS CLIA 6

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) 11D2151075

Urology Of Greater Atlanta, LLC · Stockbridge, GA
Active · expires Jul 10, 2028
CLIA Number11D2151075
Laboratory TypePhysician Office
Certificate Effective DateJuly 11, 2026
Certificate Expiration DateJuly 10, 2028
Laboratory DirectorCharles J. Bechert
Laboratory Phone(770) 474-5281
Laboratory LocationUrology Of Greater Atlanta, LLC180 North Park Trail, Suite 100, Stockbridge, GA 30281
CLIA data matches this NPI record on: Name Phone
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.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 11D2248526

Urology Of Greater Atlanta · Atlanta, GA
Active · expires Jan 12, 2028
CLIA Number11D2248526
Laboratory TypePhysician Office
Certificate Effective DateJanuary 13, 2026
Certificate Expiration DateJanuary 12, 2028
Laboratory DirectorGeorge W. Jabren
Laboratory Phone(770) 474-5281
Laboratory LocationUrology Of Greater Atlanta1100 Lake Hearn Drive, Suite 320, Atlanta, GA 30342
CLIA data matches this NPI record on: Name Phone
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.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 11D0993067

Urology Of Greater Atlanta LLC · Blue Ridge, GA
Active · expires Jul 31, 2027
CLIA Number11D0993067
Laboratory TypePhysician Office
Certificate Effective DateAugust 1, 2025
Certificate Expiration DateJuly 31, 2027
Laboratory DirectorDr. James M. Libby
Laboratory Phone(770) 474-5281
Laboratory LocationUrology Of Greater Atlanta LLC4799 Blue Ridge Drive, Suite 107, Blue Ridge, GA 30513
CLIA data matches this NPI record on: Name Phone
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.

Certificate of Accreditation 11D2050503

Urology Of Greater Atlanta, LLC · Stockbridge, GA
Active · expires Jan 1, 2027
CLIA Number11D2050503
Laboratory TypePhysician Office
Certificate Effective DateJanuary 2, 2025
Certificate Expiration DateJanuary 1, 2027
Laboratory DirectorDr. Charles J. Bechert
Laboratory Phone(770) 474-5281
Laboratory LocationUrology Of Greater Atlanta, LLC180 North Park Trail, Suite 210, Stockbridge, GA 30281
CLIA data matches this NPI record on: Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 11D2199428

Urology Of Greater Atlanta, LLC · Griffin, GA
Active · expires Nov 8, 2026
CLIA Number11D2199428
Laboratory TypePhysician Office
Certificate Effective DateNovember 9, 2024
Certificate Expiration DateNovember 8, 2026
Laboratory DirectorGeorge W. Jabren
Laboratory Phone(770) 474-5281
Laboratory LocationUrology Of Greater Atlanta, LLC685 S 9th Street, Griffin, GA 30224
CLIA data matches this NPI record on: Name Phone
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.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 11D2271117

Urology Of Greater Atlanta, LLC · Covington, GA
Active · expires Oct 26, 2026
CLIA Number11D2271117
Laboratory TypePhysician Office
Certificate Effective DateOctober 27, 2024
Certificate Expiration DateOctober 26, 2026
Laboratory DirectorGeorge Jabren
Laboratory Phone(770) 474-5281
Laboratory LocationUrology Of Greater Atlanta, LLC4143 Hospital Drive, Covington, GA 30014
CLIA data matches this NPI record on: Name Phone
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 Urology Of Greater Atlanta LLC's NPI number?

The NPI number for Urology Of Greater Atlanta LLC is 1669570990. It was assigned to this organization in the NPPES registry on September 20, 2006.

Where is Urology Of Greater Atlanta LLC located?

Urology Of Greater Atlanta LLC is located at 180 N Park Trl Ste 100, Stockbridge, GA 30281. The listed phone number is (770) 474-5281.

What is Urology Of Greater Atlanta LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Urology Of Greater Atlanta LLC enrolled in Medicare?

Yes. Urology Of Greater Atlanta LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Urology Of Greater Atlanta LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 3 Medicare specialties reassign their Medicare billing to Urology Of Greater Atlanta LLC. 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 (10), Diagnostic Radiology (2) and Pathology (1). Of these, 11 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Urology Of Greater Atlanta LLC hold CLIA laboratory certificates?

Yes. 6 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Urology Of Greater Atlanta LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 29 other insurers list Urology Of Greater Atlanta LLC 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 Urology Of Greater Atlanta LLC was last updated on October 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.