GEORGIA UROLOGY PA NPI 1881932010

NPI Information

  • NPI: 1881932010
  • Provider Name: GEORGIA UROLOGY PA
  • Classification: Urology - 2088P0231X
  • Specialization: Pediatric Urology
  • Entity Type: Organization
  • Address: 1275 HIGHWAY 54 W
    SUITE 205
    FAYETTEVILLE, GA
    ZIP 30214
  • Phone: (770) 716-9656

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NPI Details

GEORGIA UROLOGY PA is a pediatric urology urology in Fayetteville, GA. The provider is surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele). GEORGIA UROLOGY PA NPI is 1881932010. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1275 HIGHWAY 54 W
SUITE 205
FAYETTEVILLE, GA
ZIP 30214-549
Phone: (770) 716-9656
Fax: (770) 716-1609

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 enumeration date for this NPI number is 1/23/2013 and was last updated on 1/28/2015.

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
12088P0231XUrologyPediatric UrologyYes

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
1GRP1552MEDICARE PINGEORGIA
211D0704402OTHERGEORGIACLIA

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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