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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 1790411585
Urology in Conyers, GA

Active since July 25, 2022
1366 WELLBROOK CIR NE STE B, CONYERS, GA 30012(678) 344-8900(678) 666-5201 Get Directions Write a Review

NPPES record last updated: September 23, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 23, 2026, Jan 2, 2025, May 11, 2023 and 1 more (4 updates tracked since 2022).

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 1790411585) is a healthcare organization registered as an urology in Conyers, Georgia and active in the NPI registry since July 2022. The organization lists Beemal Shah, President, as its authorized official.

NPPES Registry Identity

NPI1790411585
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameADVANCED UROLOGY INSTITUTE OF GEORGIA LLC
Location Address1366 WELLBROOK CIR NE STE BConyers, GA 30012-3872
Mailing Address1551 Janmar RdSnellville, GA 30078-5606 · (678) 344-8900
Phone(678) 344-8900
Fax(678) 666-5201
Organization SubpartNo
Authorized OfficialBeemal ShahPresident · (706) 951-8657
Enumeration DateJuly 25, 2022
Last NPPES UpdateSeptember 23, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2026
✔ NPI 1790411585 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.
1366 WELLBROOK CIR NE STE B, Conyers, GA 30012
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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)

Advanced Urology Institute Of Georgia Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

95

Medicare enrollment records show 95 clinicians reassign Medicare billing to Advanced Urology Institute Of Georgia LLC, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Certified Registered Nurse Anesthetist (CRNA)61
Urology24
Nurse Practitioner5
Interventional Radiology4
Diagnostic Radiology1

Nearest to this location (20)

See all 95
Katherine Bone, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1093189409
1557 JANMAR RD
Snellville, GA 30078
(678) 666-5201
✔ Accepts Medicare14 mi
Epris Cooper, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1568842201
1557 JANMAR RD
Snellville, GA 30078
(678) 344-8900
✔ Accepts Medicare14 mi
Katherine Keller, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1750703260
1557 JANMAR RD
Snellville, GA 30078
(678) 344-8900
✔ Accepts Medicare14 mi
Keven Keller, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1194148494
1557 JANMAR RD
Snellville, GA 30078
(678) 344-8900
✔ Accepts Medicare14 mi
Amy Kingry, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1477558021
1557 JANMAR RD
Snellville, GA 30078
(678) 344-4890
14 mi
Abhijith Mally, M.D.
Urology
NPI 1609030014
1557 JANMAR RD
Snellville, GA 30078
(678) 344-8900
✔ PECOS✔ Accepts Medicare14 mi
John Ohanu
Certified Registered Nurse Anesthetist (CRNA)
NPI 1487196705
1557 JANMAR RD
Snellville, GA 30078
(678) 344-8900
✔ Accepts Medicare14 mi
Krina Patel
Nurse Practitioner
NPI 1659292316
1557 JANMAR RD
Snellville, GA 30078
(404) 620-6159
✔ PECOS14 mi
Vikram Sabarwal
Urology
NPI 1801215983
1557 JANMAR RD
Snellville, GA 30078
(678) 344-8900
✔ PECOS✔ Accepts Medicare14 mi
Moshe Shapiro, MD
Urology
NPI 1417290974
1557 JANMAR RD
Snellville, GA 30078
(678) 344-8900
✔ PECOS✔ Accepts Medicare14 mi
Donna Sieber, C.R.N.A.
Certified Registered Nurse Anesthetist (CRNA)
NPI 1396067534
1557 JANMAR RD
Snellville, GA 30078
(678) 344-8900
14 mi
Erin Favinger
Nurse Practitioner
NPI 1407551880
1555 JANMAR RD
Snellville, GA 30078
(404) 620-6159
✔ PECOS✔ Accepts Medicare14 mi
Jitesh Patel, M.D.
Urology
NPI 1265640486
1555 JANMAR RD
Snellville, GA 30078
(678) 344-8900
✔ PECOS✔ Accepts Medicare14 mi
Laura Reichwald, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1588601363
1455 MONTREAL RD
Tucker, GA 30084
(865) 985-7253
✔ Accepts Medicare18 mi
Bhavik Shah, M.D.
Urology
NPI 1265774863
175 COUNTRY CLUB DR STE 300-E
Stockbridge, GA 30281
(678) 941-4140
✔ PECOS✔ Accepts Medicare18 mi
Jacinto Camarena, MD
Interventional Radiology
NPI 1790791804
2711 IRVIN WAY SUITE 102
Decatur, GA 30030
(678) 344-8900
✔ PECOS✔ Accepts Medicare18 mi
Hemant Chaparala, M.D.
Urology
NPI 1043666365
2711 IRVIN WAY
Decatur, GA 30030
(678) 344-8900
✔ PECOS✔ Accepts Medicare18 mi
Karl Pete, MD
Urology
NPI 1518903988
2711 IRVIN WAY STE 102
Decatur, GA 30030
(678) 344-8900
✔ PECOS✔ Accepts Medicare18 mi
Bradley White, D.O.
Interventional Radiology
NPI 1265891634
2711 IRVIN WAY SUITE 102
Decatur, GA 30030
(678) 344-8900
✔ PECOS✔ Accepts Medicare18 mi
Mukesh Patel, MD
Urology
NPI 1508825183
501 CROWNPOINTE WAY
Lawrenceville, GA 30046
(678) 344-8900
✔ PECOS✔ Accepts Medicare18 mi
See all 95 clinicians

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

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 1790411585. It was assigned to this organization in the NPPES registry on July 25, 2022.

Where is Advanced Urology Institute Of Georgia LLC located?

Advanced Urology Institute Of Georgia LLC is located at 1366 Wellbrook Cir NE Ste B, Conyers, GA 30012. 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.

Is Advanced Urology Institute Of Georgia LLC enrolled in Medicare?

Yes. Advanced Urology Institute Of Georgia LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Urology Institute Of Georgia LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 95 clinicians in 5 Medicare specialties reassign their Medicare billing to Advanced Urology Institute Of Georgia LLC. 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 Certified Registered Nurse Anesthetist (CRNA) (61), Urology (24) and Nurse Practitioner (5). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 49 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.