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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: October 18, 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
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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 ›

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

Clinicians Billing Medicare Through This Organization

16

Medicare enrollment records show 16 clinicians reassign Medicare billing to Georgia Urology Piedmont, LLC, which bills Medicare for the services they deliver. Of these, 6 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 2

Urology14
Nurse Practitioner2

Clinicians, nearest first (16)

Brittani Barrett-Harlow, M.D.
Urology
NPI 1013334390
1336 HIGHWAY 54 W BLDG 200
Fayetteville, GA 30214
(770) 460-9777
✔ PECOS✔ Accepts MedicareSame address
Kevin Yang, M.D.
Urology
NPI 1336402924
1336 HIGHWAY 54 W BLDG 200
Fayetteville, GA 30214
(770) 460-9777
✔ PECOS✔ Accepts MedicareSame address
John Abbott, M.D.
Urology
NPI 1861679805
1336 HIGHWAY 54 W BLDG 200
Fayetteville, GA 30214
(770) 460-9777
✔ PECOS✔ Accepts MedicareSame address
Princess Mcgriff, FNP
Nurse Practitioner
NPI 1568185320
1336 HIGHWAY 54 W BLDG 100, SUITE 100
Fayetteville, GA 30214
(770) 460-9777
✔ PECOS✔ Accepts MedicareSame address
Edan Shapiro, MD
Urology
NPI 1407090459
1336 HIGHWAY 54 W BLDG 200
Fayetteville, GA 30214
(770) 460-9777
✔ PECOS✔ Accepts MedicareSame address
Prabhakar Mithal
Urology
NPI 1497172951
1336 HIGHWAY 54 W BLDG 200
Fayetteville, GA 30214
(770) 460-9777
✔ PECOS✔ Accepts MedicareSame address
Ayodeji Sotimehin
Urology
NPI 1972969012
33 UPPER RIVERDALE RD SW STE 105
Riverdale, GA 30274
(770) 991-0020
✔ PECOS✔ Accepts Medicare11 mi
Robert Dimeglio, M.D.
Urology
NPI 1619929973
95 COLLIER RD NW STE 6025
Atlanta, GA 30309
(404) 352-9260
✔ PECOS✔ Accepts Medicare25 mi
Christine Callaway, MD
Urology
NPI 1548826928
2685 MILSCOTT DR
Decatur, GA 30033
(404) 292-3727
✔ PECOS✔ Accepts Medicare28 mi
Bert Chen, M.D.
Urology
NPI 1376576124
1301 SIGMAN RD NE STE 250A
Conyers, GA 30012
(770) 760-9900
✔ PECOS✔ Accepts Medicare34 mi
Allen Futral, M.D.
Urology
NPI 1295839827
1301 SIGMAN RD NE STE 250A
Conyers, GA 30012
(770) 760-9900
✔ PECOS✔ Accepts Medicare34 mi
Vincent Dicarlo, MD
Urology
NPI 1407388911
470 NORTHSIDE CHEROKEE BLVD STE 201
Canton, GA 30115
(770) 720-7246
✔ PECOS✔ Accepts Medicare54 mi
Brandi Knight, FNP
Nurse Practitioner
NPI 1568550283
9 MEDICAL DR NE STE A
Cartersville, GA 30121
(770) 607-1893
✔ PECOS✔ Accepts Medicare55 mi
Anuj Desai, M.D.
Urology
NPI 1811351646
970 JOE FRANK HARRIS PKWY SE STE 260
Cartersville, GA 30120
(770) 607-1893
✔ PECOS✔ Accepts Medicare57 mi
Jeffrey Proctor, M.D.
Urology
NPI 1902900459
970 JOE FRANK HARRIS PKWY SE SUITE 260
Cartersville, GA 30120
(770) 607-1893
✔ PECOS✔ Accepts Medicare57 mi
Jordan Best, DO
Urology
NPI 1740869031
220 J L WHITE DR STE 160
Jasper, GA 30143
(706) 692-4384
✔ PECOS71 mi

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 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.

Is Georgia Urology Piedmont, LLC enrolled in Medicare?

Yes. Georgia Urology Piedmont, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Georgia Urology Piedmont, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 16 clinicians in 2 Medicare specialties reassign their Medicare billing to Georgia Urology Piedmont, 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 Urology (14) and Nurse Practitioner (2). Of these, 6 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.