1. Home
  2. Directory
  3. Georgia
  4. Fayetteville
  5. Urology
  6. NPI Profile

GEORGIA UROLOGY PIEDMONT, LLC
NPI 1861026619
Urology in Fayetteville, GA

Active since March 02, 2020
1336 HIGHWAY 54 W BLDG 200, FAYETTEVILLE, GA 30214(770) 460-9777 Get Directions Write a Review

NPPES record last updated: April 20, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 20, 2020, Mar 2, 2020 (2 updates tracked since 2020).

About Georgia Urology Piedmont, Llc NPPES

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

GEORGIA UROLOGY PIEDMONT, LLC (NPI 1861026619) is a healthcare organization registered as an urology in Fayetteville, Georgia and active in the NPI registry since March 2020. The organization maintains a secondary practice location in Conyers and lists Mark Haber, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1861026619
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameGEORGIA UROLOGY PIEDMONT, LLC
Location Address1336 HIGHWAY 54 W BLDG 200Fayetteville, GA 30214-4574
Mailing Address1930 Brannan RdMcdonough, GA 30253-4310
Phone(770) 460-9777
Organization SubpartYesParent: Georgia Urology Pa
Authorized OfficialMark HaberManaging Partner · (678) 284-4049
Enumeration DateMarch 2, 2020
Last NPPES UpdateApril 20, 20202 updates tracked since enumeration
NPPES CertifiedApril 20, 2020
✔ NPI 1861026619 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.
1336 HIGHWAY 54 W BLDG 200, Fayetteville, GA 30214
Open in Google Maps ↗

Secondary Practice Location 1

Location 11301 Sigman Rd NE Ste 250AConyers, GA 30012-3812 · Phone (770) 760-9900

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 ›

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRITTANI LINNEA BARRETT-HARLOW M.D.
Urology
1336 HIGHWAY 54 W BLDG 200
FAYETTEVILLE, GA 30214
Fayette County (770) 460-9777
JENNIFER GOODSON NP
Nurse Practitioner (Family)
1336 HIGHWAY 54 W BLDG 200
FAYETTEVILLE, GA 30214
Fayette County (770) 460-9777
KEVIN YANG M.D.
Urology
1336 HIGHWAY 54 W BLDG 200
FAYETTEVILLE, GA 30214
Fayette County (770) 460-9777
PRABHAKAR MITHAL
Urology
1336 HIGHWAY 54 W BLDG 200
FAYETTEVILLE, GA 30214
Fayette County (770) 460-9777
TOTAL CARE PHYSICAL THERAPY, LLC
Physical Therapist
1336 HIGHWAY 54 W BLDG 200
FAYETTEVILLE, GA 30214
Fayette County (404) 590-6890
MS. RACHAEL GABRI PETERSON PA-C
Physician Assistant
1336 HIGHWAY 54 W BLDG 200
FAYETTEVILLE, GA 30214
Fayette County (770) 460-9777

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 Piedmont, LLC's NPI number?

The NPI number for Georgia Urology Piedmont, LLC is 1861026619. It was assigned to this organization in the NPPES registry on March 2, 2020.

Where is Georgia Urology Piedmont, LLC located?

Georgia Urology Piedmont, LLC is located at 1336 Highway 54 W Bldg 200, Fayetteville, GA 30214. The listed phone number is (770) 460-9777.

What is Georgia Urology Piedmont, LLC's specialty?

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

What insurance does Georgia Urology Piedmont, LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Georgia Urology Piedmont, 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 Georgia Urology Piedmont, LLC was last updated on April 20, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.