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GEORGIA UROLOGY PA
NPI 1770821001
Urology in Atlanta, GA

Active since January 21, 2013CLIA 11D2057810 · Waiver
35 COLLIER RD NW, SUITE M-245, ATLANTA, GA 30309(678) 205-8211(404) 554-1794 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Georgia Urology Pa NPPES

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

GEORGIA UROLOGY PA (NPI 1770821001) is a healthcare organization registered as an urology in Atlanta, Georgia and active in the NPI registry since January 2013. The organization holds a CLIA Waiver certificate valid through April 23, 2027 and lists Dan Fellner, Ceo, as its authorized official.

NPPES Registry Identity

NPI1770821001
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameGEORGIA UROLOGY PA
Location Address35 COLLIER RD NW, SUITE M-245Atlanta, GA 30309-1613
Mailing Address1930 Brannan RdMcdonough, GA 30253-4310 · (678) 284-4040 · Fax (678) 284-4076
Phone(678) 205-8211
Fax(404) 554-1794
Organization SubpartYes
Authorized OfficialDan FellnerCeo · (678) 205-8360
Enumeration DateJanuary 21, 2013
Last NPPES UpdateMay 6, 2026
NPPES CertifiedMay 6, 2026
✔ NPI 1770821001 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.
35 COLLIER RD NW, Atlanta, GA 30309
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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

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

115

Medicare enrollment records show 115 clinicians reassign Medicare billing to Georgia Urology PA, which bills Medicare for the services they deliver. Of these, 30 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Urology83
Nurse Practitioner29
Interventional Radiology2
Diagnostic Radiology1

Nearest to this location (20)

See all 115
Corby Barkhaus, NP
Nurse Practitioner
NPI 1841680048
275 COLLIER RD NW STE 400
Atlanta, GA 30309
(404) 605-4848
✔ PECOS0.1 mi
Steven Brousell, M.D.
Urology
NPI 1679991483
275 COLLIER RD NW STE 400
Atlanta, GA 30309
(404) 605-4848
✔ PECOS✔ Accepts Medicare0.1 mi
Christopher Keith, M.D.
Urology
NPI 1023463395
275 COLLIER RD NW STE 400
Atlanta, GA 30309
(404) 605-4848
✔ PECOS✔ Accepts Medicare0.1 mi
Robert Dimeglio, M.D.
Urology
NPI 1619929973
95 COLLIER RD NW STE 6025
Atlanta, GA 30309
(404) 352-9260
✔ PECOS✔ Accepts Medicare0.9 mi
Deena Holloway, FNP-C
Nurse Practitioner
NPI 1396264008
105 COLLIER RD NW STE 3020
Atlanta, GA 30309
(404) 605-4848
✔ PECOS✔ Accepts Medicare0.9 mi
Catherine Carman, NP-C
Nurse Practitioner
NPI 1588769541
3200 DOWNWOOD CIR NW SUITE 640
Atlanta, GA 30327
(404) 351-0051
✔ PECOS✔ Accepts Medicare2.9 mi
Kenneth Carney, M.D., PHARMD
Urology
NPI 1922033281
3193 HOWELL MILL RD NW STE 322
Atlanta, GA 30327
(470) 788-8379
✔ PECOS✔ Accepts Medicare3.0 mi
David Owens, MD
Diagnostic Radiology
NPI 1932284833
4545 HARRIS TRL NW
Atlanta, GA 30327
(404) 277-1502
✔ PECOS5.3 mi
Carrie Collin, MSN,FNP
Nurse Practitioner
NPI 1194230961
4298 ATLANTA RD. SE STE 300
Smyrna, GA 30080
(770) 429-9100
✔ PECOS✔ Accepts Medicare6.2 mi
Christine Callaway, MD
Urology
NPI 1548826928
2685 MILSCOTT DR
Decatur, GA 30033
(404) 292-3727
✔ PECOS✔ Accepts Medicare6.8 mi
Daniel Canter, MD
Urology
NPI 1689730061
2685 MILSCOTT DR
Decatur, GA 30033
(404) 292-3727
✔ PECOS✔ Accepts Medicare6.8 mi
Ebony Crosland, NP
Nurse Practitioner
NPI 1174236111
2685 MILSCOTT DR
Decatur, GA 30033
(404) 292-3727
✔ PECOS✔ Accepts Medicare6.8 mi
Walter Falconer, M.D.
Urology
NPI 1841393188
2685 MILSCOTT DR
Decatur, GA 30033
(404) 292-3727
✔ PECOS✔ Accepts Medicare6.8 mi
Lambda Msezane, M.D.
Urology
NPI 1306092184
2685 MILSCOTT DR
Decatur, GA 30033
(404) 292-3727
✔ PECOS✔ Accepts Medicare6.8 mi
Michael Kemper, M.D.
Urology
NPI 1255746871
2685 MILSCOTT DR
Decatur, GA 30033
(404) 292-3727
✔ PECOS✔ Accepts Medicare6.8 mi
Brittany Mize, FNP-BC
Nurse Practitioner
NPI 1053067637
2685 MILSCOTT DR
Decatur, GA 30033
(404) 292-3727
✔ PECOS✔ Accepts Medicare6.8 mi
Wolfgang Cerwinka, M.D.
Urology
NPI 1891993374
5445 MERIDIAN MARKS RD NE SUITE 420
Atlanta, GA 30342
(404) 252-5206
✔ PECOS✔ Accepts Medicare7.0 mi
Jin Park, M.D.
Interventional Radiology
NPI 1649399338
1000 JOHNSON FERRY RD NE RADIOLOGY DEPARTMENT
Atlanta, GA 30342
(404) 851-6323
✔ PECOS✔ Accepts Medicare7.3 mi
Brittney Guilfo
Nurse Practitioner
NPI 1184578916
5730 GLENRIDGE DR STE 200
Atlanta, GA 30328
(404) 256-1844
✔ PECOS✔ Accepts Medicare7.4 mi
Katie Hillman, CPNP
Nurse Practitioner
NPI 1477135465
5730 GLENRIDGE DR STE 200
Atlanta, GA 30328
(404) 252-5206
✔ PECOS✔ Accepts Medicare7.4 mi
See all 115 clinicians

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

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 11D2057810

Georgia Urology, PA · Atlanta, GA
Active · expires Apr 23, 2027
CLIA Number11D2057810
Laboratory TypePhysician Office
Certificate Effective DateApril 24, 2025
Certificate Expiration DateApril 23, 2027
Laboratory DirectorDr. Robert Di Meglio
Laboratory Phone(678) 205-8211
Laboratory LocationGeorgia Urology, PA35 Collier Road, NW, Suite M 245, Atlanta, GA 30309
CLIA data matches this NPI record on: Address Name Phone
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 Georgia Urology PA's NPI number?

The NPI number for Georgia Urology PA is 1770821001. It was assigned to this organization in the NPPES registry on January 21, 2013.

Where is Georgia Urology PA located?

Georgia Urology PA is located at 35 Collier Rd NW Suite M-245, Atlanta, GA 30309. The listed phone number is (678) 205-8211.

What is Georgia Urology PA's specialty?

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

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), 115 clinicians in 4 Medicare specialties reassign 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. The largest specialties are Urology (83), Nurse Practitioner (29) and Interventional Radiology (2). Of these, 30 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Georgia Urology PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2057810) is associated with this NPI, valid through April 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Georgia Urology PA was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.