1. Home
  2. Directory
  3. Georgia
  4. Decatur
  5. Clinic Center
  6. NPI Profile

GEORGIA UROLOGY, PA
NPI 1699328369
Clinic/Center - Ambulatory Surgical in Decatur, GA

Active since July 22, 2019CLIA Certified · 7 labs
1670 SCOTT BLVD STE 204K, DECATUR, GA 30033(678) 284-4040 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 5, 2026, Jul 22, 2019 (2 updates tracked since 2019).

About Georgia Urology, Pa NPPES

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

GEORGIA UROLOGY, PA (NPI 1699328369), doing business as Georgia Urology Decatur Asc, is a healthcare organization registered as an ambulatory surgical in Decatur, Georgia and active in the NPI registry since July 2019. The organization holds 7 active CLIA laboratory certificates and lists Dan Fellner, Ceo, as its authorized official.

NPPES Registry Identity

NPI1699328369
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameGEORGIA UROLOGY, PA
Location Address1670 SCOTT BLVD STE 204KDecatur, GA 30033-5645
Mailing Address1930 Brannan RdMcdonough, GA 30253-4310 · (678) 284-4686 · Fax (678) 284-4078
Phone(678) 284-4040
Organization SubpartYes
Authorized OfficialDan FellnerCeo · (678) 205-8360
Enumeration DateJuly 22, 2019
Last NPPES UpdateMay 5, 20262 updates tracked since enumeration
NPPES CertifiedMay 5, 2026
✔ NPI 1699328369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
1670 SCOTT BLVD STE 204K, Decatur, GA 30033
Open in Google Maps ↗

Other Names 1

Doing Business AsGeorgia Urology Decatur Asc

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 ›

CLIA Laboratory Certificates CMS CLIA 7

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) 11D2264007

Georgia Urology Ambulatory Surgery Center · Canton, GA
Active · expires Jul 7, 2028
CLIA Number11D2264007
Laboratory TypePhysician Office
Certificate Effective DateJuly 8, 2026
Certificate Expiration DateJuly 7, 2028
Laboratory DirectorWesley Ludwig
Laboratory Phone(678) 284-4686
Laboratory LocationGeorgia Urology Ambulatory Surgery Center100 Liberty Blvd, Suite 230, Canton, GA 30114
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) 11D2260417

Georgia Urology Canton Office At Liberty Blvd · Canton, GA
Active · expires May 17, 2028
CLIA Number11D2260417
Laboratory TypePhysician Office
Certificate Effective DateMay 18, 2026
Certificate Expiration DateMay 17, 2028
Laboratory DirectorWesley Ludwig
Laboratory Phone(678) 284-4686
Laboratory LocationGeorgia Urology Canton Office At Liberty Blvd100 Liberty Blvd, Suite 240, Canton, GA 30114
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) 11D0255558

Georgia Urology Roswell · Roswell, GA
Active · expires Feb 1, 2028
CLIA Number11D0255558
Laboratory TypePhysician Office
Certificate Effective DateFebruary 2, 2026
Certificate Expiration DateFebruary 1, 2028
Laboratory DirectorLewis Kriteman
Laboratory Phone(678) 284-4686
Laboratory LocationGeorgia Urology Roswell11835 Alpharetta Highway, Suite 101, Roswell, GA 30076
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) 11D2100880

Georgia Urology Ambulatory Surgery Center · Roswell, GA
Active · expires Aug 26, 2027
CLIA Number11D2100880
Laboratory TypePhysician Office
Certificate Effective DateAugust 27, 2025
Certificate Expiration DateAugust 26, 2027
Laboratory DirectorLewis Kriteman
Laboratory Phone(678) 284-4686
Laboratory LocationGeorgia Urology Ambulatory Surgery Center11835 Alpharetta Highway, Suite 100, Roswell, GA 30076
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 Waiver 11D2279821

Georgia Urology Marietta Ambulatory Surgery Center · Smyrna, GA
Active · expires Apr 9, 2027
CLIA Number11D2279821
Laboratory TypePhysician Office
Certificate Effective DateApril 10, 2025
Certificate Expiration DateApril 9, 2027
Laboratory DirectorShaya Taghechian
Laboratory Phone(678) 284-4686
Laboratory LocationGeorgia Urology Marietta Ambulatory Surgery Center4298 Atlanta Road, SE, Suite 305, Smyrna, GA 30080
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2279830

Georgia Urology Smyrna · Smyrna, GA
Active · expires Apr 9, 2027
CLIA Number11D2279830
Laboratory TypePhysician Office
Certificate Effective DateApril 10, 2025
Certificate Expiration DateApril 9, 2027
Laboratory DirectorShaya Teghechian
Laboratory Phone(678) 284-4686
Laboratory LocationGeorgia Urology Smyrna4298 Atlanta Road, SE, Suite 300, Smyrna, GA 30080
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.
173 services162 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.
51 services51 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.
28 services28 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GEORGIA UROLOGY PA
Urology
1670 SCOTT BLVD STE 204K
DECATUR, GA 30033
Dekalb County (404) 292-3727

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 1699328369. It was assigned to this organization in the NPPES registry on July 22, 2019. The provider is doing business as Georgia Urology Decatur ASC.

Where is Georgia Urology, PA located?

Georgia Urology, PA is located at 1670 Scott Blvd Ste 204K, Decatur, GA 30033. The listed phone number is (678) 284-4040.

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.

Does Georgia Urology, PA hold CLIA laboratory certificates?

Yes. 7 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 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 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 with the weekly NPPES data releases published by CMS.