NORTH GEORGIA UROLOGY CENTER, PC, INC
NPI 1861413197
Urology in Dalton, GA

Active since July 21, 2006
1434 BROADRICK DRIVE, NORTH GEORGIA UROLOGY CENTER, DALTON, GA 30720(706) 278-5961(706) 275-0280 Get Directions Write a Review

NPPES record last updated: October 4, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 4, 2018, Sep 19, 2017 (2 updates tracked since 2017).

About North Georgia Urology Center, Pc, Inc NPPES

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

NORTH GEORGIA UROLOGY CENTER, PC, INC (NPI 1861413197) is a healthcare organization registered as an urology in Dalton, Georgia and active in the NPI registry since July 2006. The organization lists Clista Tallent, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1861413197
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameNORTH GEORGIA UROLOGY CENTER, PC, INC
Location Address1434 BROADRICK DRIVE, NORTH GEORGIA UROLOGY CENTERDalton, GA 30720
Mailing Address1434 Broadrick DriveDalton, GA 30720-3009 · (706) 278-5961 · Fax (706) 275-0280
Fax(706) 275-0280
Organization SubpartNo
Authorized OfficialClista TallentPractice Manager · (706) 278-5961
Enumeration DateJuly 21, 2006
Last NPPES UpdateOctober 4, 20182 updates tracked since enumeration
✔ NPI 1861413197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in GA · 050482
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.
1434 BROADRICK DRIVE, Dalton, GA 30720

Other Identifiers 3

Medicaid8913681GA
Medicaid429126502AGA
Medicaid00931312AGA

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

North Georgia Urology Center, Pc, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to North Georgia Urology Center, PC, Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (8)

Urology
NPI 1316943210
1434 BROADRICK DR
Dalton, GA 30720
(706) 278-5961
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1861464208
1434 BROADRICK DR
Dalton, GA 30720
(706) 278-5961
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1912903642
106 HOSPITAL DR STE 1
Chatsworth, GA 30705
(706) 695-9240
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1396137899
1425 MCFARLAND AVENUE
Roseville, GA 30741
(706) 861-0863
✔ PECOS21 mi
Nurse Practitioner
NPI 1780180927
99 OUIDA ST
Blue Ridge, GA 30513
(706) 632-2271
✔ PECOS✔ Accepts Medicare38 mi
Pathology
NPI 1356313217
5301 VIRGINIA WAY 300
Brentwood, TN 37027
(615) 221-4474
✔ PECOS✔ Accepts Medicare134 mi
Pathology
NPI 1962466565
3495 HACKS CROSS RD
Memphis, TN 38125
(901) 526-7444
✔ PECOS274 mi
Urology
NPI 1285634139
3801 S KANNER HWY STE 200
Stuart, FL 34994
(772) 419-4834
✔ PECOS✔ Accepts Medicare596 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 North Georgia Urology Center, PC, Inc's NPI number?

The NPI number for North Georgia Urology Center, PC, Inc is 1861413197. It was assigned to this organization in the NPPES registry on July 21, 2006.

Where is North Georgia Urology Center, PC, Inc located?

North Georgia Urology Center, PC, Inc is located at 1434 Broadrick Drive North Georgia Urology Center, Dalton, GA 30720. The listed phone number is (706) 278-5961.

What is North Georgia Urology Center, PC, Inc's specialty?

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

Is North Georgia Urology Center, PC, Inc enrolled in Medicare?

Yes. North Georgia Urology Center, PC, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through North Georgia Urology Center, PC, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to North Georgia Urology Center, PC, Inc. 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 Nurse Practitioner (3), Urology (3) and Pathology (2). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does North Georgia Urology Center, PC, Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 30 other insurers list North Georgia Urology Center, PC, Inc 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 North Georgia Urology Center, PC, Inc was last updated on October 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.