GEORGIA UROLOGY, PA
NPI 1861222119
Clinic/Center - Ambulatory Surgical in Braselton, GA

Active since August 02, 2024
1223 FRIENDSHIP RD., BLDG. 400, SUITE 110, BRASELTON, GA 30517(770) 963-2451 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 5, 2026, Aug 2, 2024 (2 updates tracked since 2024).

About Georgia Urology, Pa NPPES

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

GEORGIA UROLOGY, PA (NPI 1861222119) is a healthcare organization registered as an ambulatory surgical in Braselton, Georgia and active in the NPI registry since August 2024. The organization lists Dan Fellner, Ceo, as its authorized official.

NPPES Registry Identity

NPI1861222119
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameGEORGIA UROLOGY, PA
Location Address1223 FRIENDSHIP RD., BLDG. 400, SUITE 110Braselton, GA 30517
Mailing Address1930 Brannan RdMcdonough, GA 30253-4310 · (678) 284-4040
Organization SubpartYes
Authorized OfficialDan FellnerCeo · (678) 205-8360
Enumeration DateAugust 2, 2024
Last NPPES UpdateMay 5, 20262 updates tracked since enumeration
NPPES CertifiedMay 5, 2026
NPI 1861222119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
1223 FRIENDSHIP RD., Braselton, GA 30517

Other Providers at the Same Location NPPES 4

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

Urology
1223 FRIENDSHIP RD., BLDG. 400, SUITE 110
BRASELTON, GA 30517
Urology
1223 FRIENDSHIP RD., BLDG. 400, SUITE 100
BRASELTON, GA 30517
Urology
1223 FRIENDSHIP RD., BLDG. 400 SUITE 100
BRASELTON, GA 30517
Nurse Practitioner (Acute Care)
1223 FRIENDSHIP RD., BLDG. 400, SUITE 100
BRASELTON, GA 30517

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, PA's NPI number?

The NPI number for Georgia Urology, PA is 1861222119. It was assigned to this organization in the NPPES registry on August 2, 2024.

Where is Georgia Urology, PA located?

Georgia Urology, PA is located at 1223 Friendship Rd. Bldg. 400, Suite 110, Braselton, GA 30517. The listed phone number is (770) 963-2451.

What is Georgia Urology, PA's specialty?

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

When was this NPI record last updated?

The NPPES record for Georgia Urology, PA 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 3 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.