DR. ALFRED WALTER MAZUR M.D. NPI 1255311619

NPI Information

  • NPI: 1255311619
  • Provider Name: DR. ALFRED WALTER MAZUR, M.D.
  • Classification: Urology - 208800000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 200 DOCTORS DR
    SUITE 220
    DOUGLAS, GA
    ZIP 31533
  • Phone: (912) 384-4030

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NPI Details

DR. Alfred Walter Mazur, M.D. is an urology in Douglas, GA. The provider is 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. DR. Alfred Walter Mazur, M.D. NPI is 1255311619. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

200 DOCTORS DR
SUITE 220
DOUGLAS, GA
ZIP 31533-201
Phone: (912) 384-4030
Fax: (912) 384-4039

The NPI 1255311619 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Manual urinalysis test with examination using microscope, automated (HCPCS:81001)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Stool analysis for blood, by peroxidase activity (HCPCS:82272)
  • Ultrasound measurement of bladder capacity after voiding (HCPCS:51798)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Follow-up hospital inpatient care per day, typically 15 minutes (HCPCS:99231)
  • Diagnostic exam of bladder and urethra using an endoscope (HCPCS:52000)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)

The enumeration date for this NPI number is 1/20/2006 and was last updated on 3/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208800000XUrology046695GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
111D1105865OTHERGEORGIACLIA ID - 17 JOHNSON ST
2046695OTHERGEORGIAPHYSICIAN LICENSE #
3477420OTHERGEORGIAWELLCARE
4000833412DMEDICAIDGEORGIA
5000833412EMEDICAIDGEORGIA
611D1092458OTHERGEORGIACLIA ID - 200 DOCTORS DR STE 220
7DH1281OTHERGEORGIARAILROAD MEDICARE - GROUP #
8P00726011OTHERGEORGIARAILROAD MEDICARE - PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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