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GEORGIA UROLOGY PA
NPI 1952541708
Urology in Fayetteville, GA

Active since March 05, 2009CLIA Certified · 2 labs
140 CARNEGIE PL, SUITE 108, FAYETTEVILLE, GA 30214(678) 610-3395(678) 610-3462 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 1952541708) is a healthcare organization registered as an urology in Fayetteville, Georgia and active in the NPI registry since March 2009. The organization holds 2 active CLIA laboratory certificates and lists Dan Fellner, Ceo, as its authorized official.

NPPES Registry Identity

NPI1952541708
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameGEORGIA UROLOGY PA
Location Address140 CARNEGIE PL, SUITE 108Fayetteville, GA 30214-7913
Mailing Address1930 Brannan RdMcdonough, GA 30253-4310 · (678) 284-4040 · Fax (678) 284-4076
Phone(678) 610-3395
Fax(678) 610-3462
Organization SubpartYes
Authorized OfficialDan FellnerCeo · (678) 205-8360
Enumeration DateMarch 5, 2009
Last NPPES UpdateMay 6, 2026
NPPES CertifiedMay 6, 2026
✔ NPI 1952541708 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.
140 CARNEGIE PL, Fayetteville, GA 30214
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Other Identifiers 1

OtherP00745321GA · Medicare Railroad Ptan

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

CLIA Laboratory Certificates CMS CLIA 2

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 11D1094704

Georgia Urology Fayette Ambulatory Surgery Center · Fayetteville, GA
Active · expires Mar 26, 2028
CLIA Number11D1094704
Laboratory TypePhysician Office
Certificate Effective DateMarch 27, 2026
Certificate Expiration DateMarch 26, 2028
Laboratory DirectorJohn Abbott
Laboratory Phone(678) 610-3395
Laboratory LocationGeorgia Urology Fayette Ambulatory Surgery Center1336 Hwy 54W Bldg 100 Suite 101, Fayetteville, GA 30214
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 11D0943324

Georgia Urology PA Fayetteville · Fayetteville, GA
Active · expires Mar 24, 2028
CLIA Number11D0943324
Laboratory TypePhysician Office
Certificate Effective DateMarch 25, 2026
Certificate Expiration DateMarch 24, 2028
Laboratory DirectorDr. John T. Abbot
Laboratory Phone(678) 610-3395
Laboratory LocationGeorgia Urology PA Fayetteville1336 Highway 54 West Bldg 100, Suite 100, Fayetteville, GA 30214
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 Georgia Urology PA's NPI number?

The NPI number for Georgia Urology PA is 1952541708. It was assigned to this organization in the NPPES registry on March 5, 2009.

Where is Georgia Urology PA located?

Georgia Urology PA is located at 140 Carnegie Pl Suite 108, Fayetteville, GA 30214. The listed phone number is (678) 610-3395.

What is Georgia Urology PA's specialty?

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

Does Georgia Urology PA hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

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.