ADVANCED UROLOGY INSTITUTE OF GEORGIA, LLC
NPI 1942820576
Urology in Canton, GA
About Advanced Urology Institute Of Georgia, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADVANCED UROLOGY INSTITUTE OF GEORGIA, LLC (NPI 1942820576), doing business as Advanced Urology Institute Of Georgia, 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
Specialties & Licenses
Other Names 1
Group Practice 1
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)
Advanced Urology Institute Of Georgia, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
95Medicare enrollment records show 95 clinicians reassign Medicare billing to Advanced Urology Institute Of Georgia, LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 95Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, GAFrequently 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, LLC's NPI number?
The NPI number for Advanced Urology Institute Of Georgia, LLC 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, LLC located?
Advanced Urology Institute Of Georgia, LLC 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, LLC's specialty?
The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.
Is Advanced Urology Institute Of Georgia, LLC enrolled in Medicare?
Yes. Advanced Urology Institute Of Georgia, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Advanced Urology Institute Of Georgia, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 95 clinicians in 5 Medicare specialties reassign their Medicare billing to Advanced Urology Institute Of Georgia, 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 Certified Registered Nurse Anesthetist (CRNA) (61), Urology (24) and Nurse Practitioner (5). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Advanced Urology Institute Of Georgia, LLC 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, LLC 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, 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 Advanced Urology Institute Of Georgia, LLC was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days 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.
# Advanced Urology Institute Of Georgia, Llc · NPI 1942820576
Urology organization in Canton, Georgia. Organization record, active in the CMS NPPES registry since April 23, 2020.
## Identity
- **NPI:** 1942820576 (Entity type: Organization)
- **Enumerated:** April 23, 2020
- **Primary specialty:** Urology · taxonomy 208800000X
- **Also known as:** Advanced Urology Institute of Georgia (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Beemal Shah, CEO
## Practice location
- **Address:** 2205 RIVERSTONE BLVD STE 101, Canton, GA 30114-5250
- **Phone:** (678) 344-8900 · **Fax:** (678) 666-5201
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 95 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Certified Registered Nurse Anesthetist (CRNA) (61), Urology (24), Nurse Practitioner (5); 1 practice within 10 miles; [full list](https://npiprofile.com/npi/1942820576/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 23, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1942820576) · Data from the CMS NPPES public registry.