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

NPI Status: Active since December 05, 2017

Contact Information

4150 DEPUTY BILL CANTRELL MEMORIAL ROAD
SUITE 140A
CUMMING, GA
ZIP 30040
Phone: (770) 889-9737

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • Accepts Insurance
  • CLIA Number: 11D0943323
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 03-24-2028

About GEORGIA UROLOGY ASC CUMMING

This page provides the complete NPI Profile along with additional information for Georgia Urology Asc Cumming, a provider established in Cumming, Georgia operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1780199356 assigned on December 2017. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated May 2026. The authorized official of this NPI record is Dan Fellner (Ceo)

NPI
1780199356
Provider Name
GEORGIA UROLOGY ASC CUMMING
Entity Type
Organization
Location Address
4150 DEPUTY BILL CANTRELL MEMORIAL ROAD SUITE 140A CUMMING, GA 30040
Location Phone
(770) 889-9737
Mailing Address
1930 BRANNAN RD MCDONOUGH, GA 30253
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
12-05-2017
Last Update Date
05-05-2026
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Standard Expanded Bronze - HMO
  • Standard Gold - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Clarity Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Clear Silver with $0 Insulin Options - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Gold with Atrium Health - HMO
  • Complete Gold with Atrium Health + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Bronze with Atrium Health - HMO
  • Elite Bronze with Atrium Health + Vision + Adult Dental - HMO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options - HMO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • MENDING Direct Primary Care Bronze 4950 ($0 DPC + $0 PCP + $0 Mental Health) - HMO
  • MENDING Direct Primary Care Gold $0 Ded ($0 DPC $0 PCP + $0 Mental Health) - HMO
  • MENDING Direct Primary Care Silver 2300 ($0 DPC + $0 PCP + $0 Mental Health) - HMO
  • MENDING Standard Bronze (No Direct Primary Care, for DPC select DPC Bronze) - HMO
  • MENDING Standard Gold (No Direct Primary Care, for DPC select DPC Gold) - HMO
  • MENDING Standard Silver (No Direct Primary Care, for DPC select DPC Silver) - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DAN FELLNER

Authorized Official Title
CEO
Authorized Official Phone
(678) 205-8360

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Biopsy of prostate gland

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.

This service was performed 27 times for 27 patients

Diagnostic exam of bladder and urethra using an endoscope

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.

This service was performed 575 times for 512 patients

Insertion of sacral nerve neurostimulator electrode array

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.

This service was performed 72 times for 34 patients

Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope

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.

This service was performed 45 times for 43 patients

Ultrasound scan of pelvic region through rectum

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.

This service was performed 90 times for 90 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
11D0943323
Facility Type
Physician Office
Certificate Effective Date
March 25, 2026
Certificate Expiration Date
March 24, 2028
Laboratory Director
CARL C. CAPELOUTO
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Georgia Urology Asc Cumming in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1780199356, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
0
Unchanged
Pos 5
1
Doubled → 2
Pos 6
9
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
3
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 1 → 2 9 → 18 → 9 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 6 + 0 + 2 + 9 + 1 + 8 + 3 + 1 + 0 + 24 = 64

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1780199356.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Radiology (Diagnostic Radiology)
4150 DEPUTY BILL CANTRELL MEMORIAL ROAD
CUMMING, GA 30040
Psychiatry & Neurology (Child & Adolescent Psychiatry)
4150 DEPUTY BILL CANTRELL MEMORIAL ROAD, SUITE T200
CUMMING, GA 30040
Behavior Technician
4150 DEPUTY BILL CANTRELL MEMORIAL ROAD
CUMMING, GA 30040
Behavior Technician
4150 DEPUTY BILL CANTRELL MEMORIAL ROAD, SUITE T200
CUMMING, GA 30040
Behavior Technician
4150 DEPUTY BILL CANTRELL MEMORIAL ROAD, SUITE T200
CUMMING, GA 30040
Behavior Technician
4150 DEPUTY BILL CANTRELL MEMORIAL ROAD, SUITE T200
CUMMING, GA 30040
Behavior Technician
4150 DEPUTY BILL CANTRELL MEMORIAL ROAD, SUITE T200
CUMMING, GA 30040
Behavior Analyst
4150 DEPUTY BILL CANTRELL MEMORIAL ROAD, SUITE T200
CUMMING, GA 30040
Behavior Analyst
4150 DEPUTY BILL CANTRELL MEMORIAL ROAD, T200
CUMMING, GA 30040
Occupational Therapist
4150 DEPUTY BILL CANTRELL MEMORIAL ROAD, SUITE T200
CUMMING, GA 30040
Clinic/Center (Ambulatory Surgical)
4150 DEPUTY BILL CANTRELL MEMORIAL ROAD, SUITE 200
CUMMING, GA 30040
Physical Therapist
4150 DEPUTY BILL CANTRELL MEMORIAL ROAD, SUITE 350
CUMMING, GA 30040
Audiologist
4150 DEPUTY BILL CANTRELL MEMORIAL ROAD, UNIT 260
CUMMING, GA 30040
Behavior Technician
4150 DEPUTY BILL CANTRELL MEMORIAL ROAD
CUMMING, GA 30040
Behavior Technician
4150 DEPUTY BILL CANTRELL MEMORIAL ROAD, SUITE T200
CUMMING, GA 30040
Behavior Technician
4150 DEPUTY BILL CANTRELL MEMORIAL ROAD, SUITE T200
CUMMING, GA 30040
Behavior Technician
4150 DEPUTY BILL CANTRELL MEMORIAL ROAD, SUITE T200
CUMMING, GA 30040
Behavior Technician
4150 DEPUTY BILL CANTRELL MEMORIAL ROAD, SUITE T200
CUMMING, GA 30040
Behavior Technician
4150 DEPUTY BILL CANTRELL MEMORIAL ROAD, SUITE T200
CUMMING, GA 30040
Plastic Surgery
4150 DEPUTY BILL CANTRELL MEMORIAL ROAD, SUITE 240
CUMMING, GA 30040

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780199356, enumerated as an "organization" on December 05, 2017.

The provider is located at 4150 DEPUTY BILL CANTRELL MEMORIAL ROAD SUITE 140A CUMMING, GA 30040 and the phone number is (770) 889-9737.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter. Please consult your insurance carrier or call the provider to verify.