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GEORGIA UROLOGY ASC CUMMING
NPI 1780199356
Clinic/Center - Ambulatory Surgical in Cumming, GA

Active since December 05, 2017
4150 DEPUTY BILL CANTRELL MEMORIAL ROAD, SUITE 140A, CUMMING, GA 30040(770) 889-9737 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 5, 2026, Dec 5, 2017 (2 updates tracked since 2017).

About Georgia Urology Asc Cumming NPPES

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

GEORGIA UROLOGY ASC CUMMING (NPI 1780199356) is a healthcare organization registered as an ambulatory surgical in Cumming, Georgia and active in the NPI registry since December 2017. The organization lists Dan Fellner, Ceo, as its authorized official.

NPPES Registry Identity

NPI1780199356
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameGEORGIA UROLOGY ASC CUMMING
Location Address4150 DEPUTY BILL CANTRELL MEMORIAL ROAD, SUITE 140ACumming, GA 30040
Mailing Address1930 Brannan RdMcdonough, GA 30253-4310
Phone(770) 889-9737
Organization SubpartYesParent: Georgia Urology Pa
Authorized OfficialDan FellnerCeo · (678) 205-8360
Enumeration DateDecember 5, 2017
Last NPPES UpdateMay 5, 20262 updates tracked since enumeration
NPPES CertifiedMay 5, 2026
✔ NPI 1780199356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
4150 DEPUTY BILL CANTRELL MEMORIAL ROAD, Cumming, GA 30040
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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 ›

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 Asc Cumming is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

116

Medicare enrollment records show 116 clinicians reassign Medicare billing to Georgia Urology ASC Cumming, which bills Medicare for the services they deliver. Of these, 6 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Urology84
Nurse Practitioner29
Interventional Radiology2
Diagnostic Radiology1

Nearest to this location (20)

See all 116
Julia Branch, NURSE PRACTITIONER
Nurse Practitioner
NPI 1033600341
1800 NORTHSIDE FORSYTH DR STE 370
Cumming, GA 30041
(770) 889-9737
✔ PECOS✔ Accepts Medicare0.2 mi
Anthony Hiffa
Urology
NPI 1831671536
1800 NORTHSIDE FORSYTH DR STE 370
Cumming, GA 30041
(770) 889-9737
✔ PECOS✔ Accepts Medicare0.2 mi
Anand Mohapatra, MD
Urology
NPI 1982068904
1800 NORTHSIDE FORSYTH DR STE 370
Cumming, GA 30041
(770) 889-9737
✔ PECOS✔ Accepts Medicare0.2 mi
Jalpa Patel, NP
Nurse Practitioner
NPI 1134862915
1800 NORTHSIDE FORSYTH DR STE 370
Cumming, GA 30041
(708) 899-7377
✔ PECOS✔ Accepts Medicare0.2 mi
Jerry Yuan, M.D.
Urology
NPI 1104895762
11459 JOHNS CREEK PKWY SUITE 170
Johns Creek, GA 30097
(678) 417-0400
✔ PECOS✔ Accepts Medicare8.7 mi
Diane Spiva, CRNP
Nurse Practitioner
NPI 1578632808
10730 MEDLOCK BRIDGE RD STE 110
Johns Creek, GA 30097
(678) 344-8900
✔ PECOS9.7 mi
Robert Esposito, MD
Interventional Radiology
NPI 1467913343
3005 ROYAL BLVD S STE 110
Alpharetta, GA 30022
(770) 800-7917
✔ PECOS✔ Accepts Medicare11 mi
John Buchanan, FNP
Nurse Practitioner
NPI 1265001184
3790 PLEASANT HILL RD STE 150
Duluth, GA 30096
(770) 979-9427
✔ PECOS✔ Accepts Medicare12 mi
Joseph Song, MA, MD
Urology
NPI 1487068904
3855 PLEASANT HILL RD STE 220
Duluth, GA 30096
(770) 979-9427
✔ PECOS✔ Accepts Medicare12 mi
Cassidy Banks, NP
Nurse Practitioner
NPI 1982309357
11835 ALPHARETTA HWY STE 101
Roswell, GA 30076
(770) 475-7550
✔ PECOS✔ Accepts Medicare13 mi
Corie Grabowski, FNP-C
Nurse Practitioner
NPI 1023527264
11835 ALPHARETTA HWY STE 101
Roswell, GA 30076
(704) 757-5507
✔ PECOS✔ Accepts Medicare13 mi
Akash Kapadia, M.D.
Urology
NPI 1881012391
11835 ALPHARETTA HWY STE 101
Roswell, GA 30076
(770) 475-7550
✔ PECOS✔ Accepts Medicare13 mi
Adity Dutta
Nurse Practitioner
NPI 1134748320
3790 PLEASANT HILL RD STE 150
Duluth, GA 30096
(770) 979-9427
✔ PECOS✔ Accepts Medicare13 mi
Daniel Belew, M.D.
Urology
NPI 1306229851
1357 HEMBREE RD STE 250
Roswell, GA 30076
(770) 475-7550
✔ PECOS✔ Accepts Medicare13 mi
Adamantios Mellis, MD
Urology
NPI 1386870731
1357 HEMBREE RD STE 250
Roswell, GA 30076
(678) 284-4040
✔ PECOS✔ Accepts Medicare13 mi
Harry Rutland, MD
Urology
NPI 1528163748
1357 HEMBREE ROAD SUITE 250
Roswell, GA 30076
(770) 475-7550
✔ PECOS✔ Accepts Medicare13 mi
David Banks, MD
Urology
NPI 1942305164
1357 HEMBREE RD SUITE 250
Roswell, GA 30076
(770) 475-7550
✔ PECOS✔ Accepts Medicare13 mi
Patricia Shelton, NP
Nurse Practitioner
NPI 1407439441
7316 SPOUT SPRINGS RD STE 203
Flowery Branch, GA 30542
(678) 205-8387
✔ PECOS✔ Accepts Medicare16 mi
Michael Butzen, DNP
Nurse Practitioner
NPI 1760036776
1223 FRIENDSHIP RD. BLDG. 400, SUITE 100
Braselton, GA 30517
(678) 205-8387
✔ PECOS✔ Accepts Medicare18 mi
Jin Park, M.D.
Interventional Radiology
NPI 1649399338
1000 JOHNSON FERRY RD NE RADIOLOGY DEPARTMENT
Atlanta, GA 30342
(404) 851-6323
✔ PECOS✔ Accepts Medicare22 mi
See all 116 clinicians

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

Areas of Expertise CMS Part B claims 5

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.
580 services508 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.
94 services94 patients
Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope 52310
This is a procedure to remove an object, stone, or tube from your urinary tract. An endoscope, a thin, flexible tube with a light and camera, is used to locate and remove the object. It is a safe and effective way to address the issue.
45 services45 patients
Insertion of sacral nerve neurostimulator electrode array 64561
The insertion of a sacral nerve neurostimulator electrode array is a procedure where a small device is placed under your skin. This device sends mild electrical pulses to your sacral nerves, which can help manage certain body functions and alleviate symptoms.
34 services17 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.
27 services27 patients

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 ASC Cumming's NPI number?

The NPI number for Georgia Urology ASC Cumming is 1780199356. It was assigned to this organization in the NPPES registry on December 5, 2017.

Where is Georgia Urology ASC Cumming located?

Georgia Urology ASC Cumming is located at 4150 Deputy Bill Cantrell Memorial Road Suite 140A, Cumming, GA 30040. The listed phone number is (770) 889-9737.

What is Georgia Urology ASC Cumming's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Is Georgia Urology ASC Cumming enrolled in Medicare?

Yes. Georgia Urology ASC Cumming is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Georgia Urology ASC Cumming?

According to the CMS Revalidation Reassignment List (October 2026 release), 116 clinicians in 4 Medicare specialties reassign their Medicare billing to Georgia Urology ASC Cumming. 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 (84), Nurse Practitioner (29) and Interventional Radiology (2). Of these, 6 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Georgia Urology ASC Cumming accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Georgia Urology ASC Cumming 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 ASC Cumming was last updated on May 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.