Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Q: What is Advanced Urology Institute Of Georgia, LLC's specialty?

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

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: September 23, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 23, 2026, Sep 15, 2026, May 14, 2025 and 2 more (5 updates tracked since 2022).

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About Advanced Urology Institute Of Georgia, Llc NPPES

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

ADVANCED UROLOGY INSTITUTE OF GEORGIA, LLC (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 Beemal Shah, Ceo, as its authorized official.

NPPES Registry Identity

NPI1700407772

Entity TypeOrganization

Primary Taxonomy208800000X

Legal Business NameADVANCED UROLOGY INSTITUTE OF GEORGIA, LLC

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 OfficialBeemal ShahCeo · (706) 951-8657

Enumeration DateApril 30, 2020

Last NPPES UpdateSeptember 23, 20265 updates tracked since enumeration

NPPES CertifiedSeptember 23, 2026

✔ 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, LLC's NPI number?

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

Where is Advanced Urology Institute Of Georgia, LLC located?

Advanced Urology Institute Of Georgia, LLC 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, LLC's specialty?

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

Does Advanced Urology Institute Of Georgia, LLC 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, LLC 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, 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 Advanced Urology Institute Of Georgia, LLC was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.