GEORGIA UROLOGY ASC CUMMING NPI 1780199356

NPI Information

  • NPI: 1780199356
  • Provider Name: GEORGIA UROLOGY ASC CUMMING
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 11D0943323
  • Address: 4150 DEPUTY BILL CANTRELL MEMORIAL ROAD
    SUITE 140A
    CUMMING, GA
    ZIP 30040
  • Phone: (770) 889-9737

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NPI Details

GEORGIA UROLOGY ASC CUMMING is an ambulatory surgical clinic center in Cumming, GA. GEORGIA UROLOGY ASC CUMMING NPI is 1780199356. The provider is registered as an organization entity type.

The provider's business location address is:

4150 DEPUTY BILL CANTRELL MEMORIAL ROAD
SUITE 140A
CUMMING, GA
ZIP 30040
Phone: (770) 889-9737

The provider's authorized official is Mark A Haber .
The authorized official title is Managing Partner and has the following contact phone number (678) 284-4040.

The CLIA number assigned to this NPI record is 11D0943323 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

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)
  • Insertion of sacral nerve neurostimulator electrode array (HCPCS:64561)
  • Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope (HCPCS:52310)
  • Biopsy of prostate gland (HCPCS:55700)
  • Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants (HCPCS:C9740)
  • Exam with injections of chemical for destruction of bladder using an endoscope (HCPCS:52287)
  • Shock wave crushing of kidney stones (HCPCS:50590)
  • Dilation of urethra using an endoscope (HCPCS:52281)

The enumeration date for this NPI number is 12/5/2017 and was last updated on 12/5/2017.

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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