GEORGIA UROLOGY PA
NPI 1952541708
Urology in Fayetteville, GA
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
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Georgia Urology Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
115Medicare enrollment records show 115 clinicians reassign Medicare billing to Georgia Urology PA, which bills Medicare for the services they deliver. Of these, 11 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 4
Nearest to this location (20)
See all 115Fayetteville, GA 30214
Source: 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 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, GACertificate for Provider-Performed Microscopy Procedures (PPMP) 11D0943324
Georgia Urology PA Fayetteville · Fayetteville, 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 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.
Is Georgia Urology PA enrolled in Medicare?
Yes. Georgia Urology PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Georgia Urology PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 115 clinicians in 4 Medicare specialties reassign their Medicare billing to Georgia Urology PA. 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 Urology (83), Nurse Practitioner (29) and Interventional Radiology (2). Of these, 11 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 5 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.
# Georgia Urology Pa · NPI 1952541708
Urology organization in Fayetteville, Georgia. Organization record, active in the CMS NPPES registry since March 5, 2009.
## Identity
- **NPI:** 1952541708 (Entity type: Organization)
- **Enumerated:** March 5, 2009
- **Primary specialty:** Urology · taxonomy 208800000X
- **Organization subpart:** Yes (part of Georgia Urology Pa)
- **Authorized official:** Dan Fellner, CEO
## Practice location
- **Address:** 140 CARNEGIE PL, SUITE 108, Fayetteville, GA 30214-7913
- **Phone:** (678) 610-3395 · **Fax:** (678) 610-3462
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 115 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Urology (83), Nurse Practitioner (29), Interventional Radiology (2); 11 practice within 10 miles; [full list](https://npiprofile.com/npi/1952541708/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 6, 2026
- **Other identifiers:** Other P00745321 (GA)
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1952541708) · Data from the CMS NPPES public registry.