GEORGIA UROLOGY PA NPI 1639499627

NPI Information

  • NPI: 1639499627
  • Provider Name: GEORGIA UROLOGY, PA
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • :
  • Address: 4298 ATLANTA RD. SE
    SUITE 305
    SMYRNA, GA
    ZIP 30080
  • Phone: (770) 429-9100

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NPI Details

GEORGIA UROLOGY, PA is an ambulatory surgical clinic center in Smyrna, GA. GEORGIA UROLOGY, PA NPI is 1639499627. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

4298 ATLANTA RD. SE
SUITE 305
SMYRNA, GA
ZIP 30080
Phone: (770) 429-9100
Fax: (770) 429-1391

The provider's authorized official is Dan Fellner .
The authorized official title is Ceo and has the following contact phone number (678) 284-4040.

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.

  • Injection, onabotulinumtoxina, 1 unit (HCPCS:J0585)
  • 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)
  • Insertion of sacral nerve neurostimulator electrode array (HCPCS:64561)
  • Exam with injections of chemical for destruction of bladder using an endoscope (HCPCS:52287)
  • Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope (HCPCS:52310)
  • Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants (HCPCS:C9740)
  • Injection of implant material beneath lining of bladder and/or urethra using an endoscope (HCPCS:51715)

The enumeration date for this NPI number is 6/2/2010 and was last updated on 9/2/2025.

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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