GEORGIA UROLOGY PA NPI 1629222815

NPI Information

  • NPI: 1629222815
  • Provider Name: GEORGIA UROLOGY, PA
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Other Name: GEORGIA UROLOGY ASC CONYERS
  • CLIA Number: 11D1094215
  • Address: 1301 SIGMAN RD NE STE 250B
    CONYERS, GA
    ZIP 30012
  • Phone: (770) 760-9900

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NPI Details

GEORGIA UROLOGY, PA is an ambulatory surgical clinic center in Conyers, GA. GEORGIA UROLOGY, PA NPI is 1629222815. The provider is registered as an organization entity type.
The provider Other Name Is Georgia Urology Asc Conyers.

The provider's business location address is:

1301 SIGMAN RD NE STE 250B
CONYERS, GA
ZIP 30012-812
Phone: (770) 760-9900
Fax: (770) 760-1709

The provider's authorized official is Mark A Haber .
The authorized official title is Managing Partner and has the following contact phone number (678) 284-4049.

The CLIA number assigned to this NPI record is 11D1094215 - ambulatory surgery center with a certificate type of Certificate of Waiver.

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.

  • Diagnostic exam of bladder and urethra using an endoscope (HCPCS:52000)
  • Ultrasound scan of pelvic region through rectum (HCPCS:76872)
  • Biopsy of prostate gland (HCPCS:55700)
  • Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope (HCPCS:52310)

The enumeration date for this NPI number is 11/14/2008 and was last updated on 1/14/2019.

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
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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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