GEORGIA UROLOGY PA
NPI 1881932010
Urology - Pediatric Urology in Fayetteville, GA

Active since January 23, 2013
1275 HIGHWAY 54 W, SUITE 205, FAYETTEVILLE, GA 30214(770) 716-9656(770) 716-1609 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Georgia Urology Pa NPPES

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

GEORGIA UROLOGY PA (NPI 1881932010) is a healthcare organization registered as a pediatric urology in Fayetteville, Georgia and active in the NPI registry since January 2013. The organization lists Dan Fellner, Ceo, as its authorized official.

NPPES Registry Identity

NPI1881932010
Entity TypeOrganization
Primary Taxonomy2088P0231X
Legal Business NameGEORGIA UROLOGY PA
Location Address1275 HIGHWAY 54 W, SUITE 205Fayetteville, GA 30214-4549
Mailing Address1930 Brannan RdMcdonough, GA 30253-4310 · (678) 284-4040 · Fax (678) 284-4076
Fax(770) 716-1609
Organization SubpartYes
Authorized OfficialDan FellnerCeo · (678) 205-8360
Enumeration DateJanuary 23, 2013
Last NPPES UpdateMay 6, 2026
NPPES CertifiedMay 6, 2026
NPI 1881932010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrology · Pediatric UrologyAllopathic & Osteopathic Physicians
Taxonomy Code2088P0231X
Definition
Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).
1275 HIGHWAY 54 W, Fayetteville, GA 30214

Other Identifiers 1

Other11D0704402GA · Clia

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

Other Providers at the Same Location NPPES 15

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

Dentist (General Practice)
1275 HIGHWAY 54 W, SUITE 204
FAYETTEVILLE, GA 30214
Occupational Therapist
1275 HIGHWAY 54 W, STE 200
FAYETTEVILLE, GA 30214
Specialist
1275 HIGHWAY 54 W, SUITE 201
FAYETTEVILLE, GA 30214
Psychiatry & Neurology (Neurology)
1275 HIGHWAY 54 W, STE.105
FAYETTEVILLE, GA 30214
Nurse Practitioner
1275 HIGHWAY 54 W, SUITE 200
FAYETTEVILLE, GA 30214
Physical Therapist
1275 HIGHWAY 54 W, SUITE 200
FAYETTEVILLE, GA 30214
Radiology (Diagnostic Radiology)
1275 HIGHWAY 54 W, STE 102
FAYETTEVILLE, GA 30214
Specialist
1275 HIGHWAY 54 W, SUITE 201
FAYETTEVILLE, GA 30214

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 1881932010. It was assigned to this organization in the NPPES registry on January 23, 2013.

Where is Georgia Urology PA located?

Georgia Urology PA is located at 1275 Highway 54 W Suite 205, Fayetteville, GA 30214. The listed phone number is (770) 716-9656.

What is Georgia Urology PA's specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

When was this NPI record last updated?

The NPPES record for Georgia Urology PA was last updated on May 6, 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.