ADVANCED UROLOGY INSTITUTE OF GEORGIA
NPI 1942820576
Urology in Canton, GA

Q: What is Advanced Urology Institute Of Georgia PC's specialty?

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

Active since April 23, 2020CLIA 11D2186854 · Waiver

2205 RIVERSTONE BLVD STE 101, CANTON, GA 30114(678) 344-8900(678) 666-5201 Get Directions Write a Review

NPPES record last updated: January 2, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 2, 2025, Apr 26, 2024, Apr 23, 2020 (3 updates tracked since 2020).

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About Advanced Urology Institute Of Georgia NPPES

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

ADVANCED UROLOGY INSTITUTE OF GEORGIA (NPI 1942820576) is a healthcare organization registered as an urology in Canton, Georgia and active in the NPI registry since April 2020. The organization holds a CLIA Waiver certificate valid through June 22, 2028 and lists Beemal Shah, Ceo, as its authorized official.

NPPES Registry Identity

NPI1942820576

Entity TypeOrganization

Primary Taxonomy208800000X

Legal Business NameADVANCED UROLOGY INSTITUTE OF GEORGIA PC

Location Address2205 RIVERSTONE BLVD STE 101Canton, GA 30114-5250

Mailing Address1551 Janmar RdSnellville, GA 30078-5606 · (678) 344-8900 · Fax (678) 666-5201

Phone(678) 344-8900

Fax(678) 666-5201

Organization SubpartNo

Authorized OfficialBeemal ShahCeo · (706) 951-8657

Enumeration DateApril 23, 2020

Last NPPES UpdateJanuary 2, 20253 updates tracked since enumeration

NPPES CertifiedJanuary 2, 2025

✔ NPI 1942820576 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.

2205 RIVERSTONE BLVD STE 101, Canton, GA 30114

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Other Names 1

Doing Business AsAdvanced Urology Institute Of Georgia

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 Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2186854

Advanced Urology Institute Of Georgia, PC · Canton, GA

Active · expires Jun 22, 2028

CLIA Number11D2186854

Laboratory TypePhysician Office

Certificate Effective DateJune 23, 2026

Certificate Expiration DateJune 22, 2028

Laboratory DirectorJason Lomboy

Laboratory Phone(770) 979-9966

Laboratory LocationAdvanced Urology Institute Of Georgia, PC2205 Riverstone Boulevard Suite 101, Canton, GA 30114

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

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 Advanced Urology Institute Of Georgia PC's NPI number?

The NPI number for Advanced Urology Institute Of Georgia PC is 1942820576. It was assigned to this organization in the NPPES registry on April 23, 2020. The provider is doing business as Advanced Urology Institute Of Georgia.

Where is Advanced Urology Institute Of Georgia PC located?

Advanced Urology Institute Of Georgia PC is located at 2205 Riverstone Blvd Ste 101, Canton, GA 30114. The listed phone number is (678) 344-8900.

What is Advanced Urology Institute Of Georgia PC's specialty?

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

Does Advanced Urology Institute Of Georgia PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2186854) is associated with this NPI, valid through June 22, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Advanced Urology Institute Of Georgia PC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Advanced Urology Institute Of Georgia PC 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 Advanced Urology Institute Of Georgia PC was last updated on January 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.