GEORGIA REGIONAL UROLOGY PC NPI 1558412502

NPI Information

  • NPI: 1558412502
  • Provider Name: GEORGIA REGIONAL UROLOGY PC
  • Classification: Urology - 208800000X
  • Entity Type: Organization
  • CLIA Number: 11D2323100
  • Address: 2520 WINDY HILL RD SE
    SUITE 305
    MARIETTA, GA
    ZIP 30067
  • Phone: (770) 951-0866

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NPI Details

GEORGIA REGIONAL UROLOGY PC is an urology in Marietta, 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. GEORGIA REGIONAL UROLOGY PC NPI is 1558412502. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2520 WINDY HILL RD SE
SUITE 305
MARIETTA, GA
ZIP 30067-664
Phone: (770) 951-0866
Fax: (770) 951-1688

The provider's authorized official is David L Perlow .
The authorized official title is Medical Doctor and has the following contact phone number (770) 951-0866.

The CLIA number assigned to this NPI record is 11D2323100 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/16/2007 and was last updated on 12/30/2009.

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
1208800000XUrologyGEORGIAYes

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
10621780001MEDICARE NSCGEORGIA
20621780001OTHERCALIFORNIADMERC
37280346OTHERCALIFORNIAAETNA
4GRP4619MEDICARE PINCALIFORNIA
5CL8362OTHERCALIFORNIARAILROAD MEDICARE

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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