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ADVANCED UROLOGY INSTITUTE OF GEORGIA, PC
NPI 1700407772
Urology in Cumming, GA

Active since April 30, 2020CLIA 11D2186862 · Waiver
3075 RONALD REAGAN BLVD SUITE 501, CUMMING, GA 30041(678) 344-8900(678) 344-8900 Get Directions Write a Review

NPPES record last updated: May 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 14, 2025, May 11, 2023, Sep 12, 2022 (3 updates tracked since 2022).

About Advanced Urology Institute Of Georgia, Pc NPPES

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

ADVANCED UROLOGY INSTITUTE OF GEORGIA, PC (NPI 1700407772) is a healthcare organization registered as an urology in Cumming, Georgia and active in the NPI registry since April 2020. The organization holds a CLIA Waiver certificate valid through June 22, 2028 and lists Jitesh Vinod Patel, President, as its authorized official.

NPPES Registry Identity

NPI1700407772
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameADVANCED UROLOGY INSTITUTE OF GEORGIA, PC
Location Address3075 RONALD REAGAN BLVD SUITE 501Cumming, GA 30041-6052
Mailing Address1551 Janmar RdSnellville, GA 30078-5606 · (678) 344-8900 · Fax (678) 666-5201
Phone(678) 344-8900
Fax(678) 344-8900
Organization SubpartNo
Authorized OfficialJitesh Vinod PatelPresident · (678) 344-8900
Enumeration DateApril 30, 2020
Last NPPES UpdateMay 14, 20253 updates tracked since enumeration
NPPES CertifiedMay 14, 2025
✔ NPI 1700407772 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.
3075 RONALD REAGAN BLVD SUITE 501, Cumming, GA 30041
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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

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

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 of Waiver 11D2186862

Advanced Urology Institute Of Georgia, PC · Cumming, GA
Active · expires Jun 22, 2028
CLIA Number11D2186862
Laboratory TypePhysician Office
Certificate Effective DateJune 23, 2026
Certificate Expiration DateJune 22, 2028
Laboratory DirectorKushan Radadia
Laboratory Phone(770) 979-9966
Laboratory LocationAdvanced Urology Institute Of Georgia, PC3075 Ronald Reagen Boulevard Suite 501, Cumming, GA 30041
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only 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 Advanced Urology Institute Of Georgia, PC's NPI number?

The NPI number for Advanced Urology Institute Of Georgia, PC is 1700407772. It was assigned to this organization in the NPPES registry on April 30, 2020.

Where is Advanced Urology Institute Of Georgia, PC located?

Advanced Urology Institute Of Georgia, PC is located at 3075 Ronald Reagan Blvd Suite 501, Cumming, GA 30041. The listed phone number is (678) 344-8900.

What is Advanced Urology Institute Of Georgia, PC's specialty?

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

Does Advanced Urology Institute Of Georgia, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2186862) is associated with this NPI, valid through June 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Advanced Urology Institute Of Georgia, PC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Advanced Urology Institute Of Georgia, PC 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 Advanced Urology Institute Of Georgia, PC was last updated on May 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.