GEORGIA UROLOGY PA – Urology Physician, NPI 1053536243

GEORGIA UROLOGY PA is a healthcare provider. based in Lawrenceville, Georgia. specializing in Urology Physician. The NPI Number for GEORGIA UROLOGY PA is 1053536243

Main info

Organization
Name
GEORGIA UROLOGY PA
NPI
1053536243
Phone
(770) 963-2451
Address
500 MEDICAL CENTER BLVD
Authorized Official
DAN FELLNER CEO
Enumeration Date
15 April 2007
Last Update Date
6 May 2026
Data current as of
3 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness85
Years active:19State licenses:0Digital endpointsOther names

Provider Addresses for GEORGIA UROLOGY PA

  • 500 MEDICAL CENTER BLVD

    SUITE 220

    LAWRENCEVILLE, GA 30046

    Phone: (770) 963-2451

    Fax: (770) 962-0017

    Type: Location

  • 1930 BRANNAN RD

    MCDONOUGH, GA 302534310

    Phone: (678) 284-4040

    Fax: (678) 284-4076

    Type: Mailing

  • 850 LAWRENCEVILLE SUWANEE RD STE 101

    LAWRENCEVILLE, GA 300435483

    Phone: (770) 963-2451

    Fax: (770) 962-0017

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30046)

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Reviews

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Frequently asked questions

Where can patients find GEORGIA UROLOGY PA's NPI?
You can confirm GEORGIA UROLOGY PA with NPI 1053536243; it appears in the national provider directory.
Is GEORGIA UROLOGY PA active in the national directory?
GEORGIA UROLOGY PA's public NPI profile is in an active state.
Does GEORGIA UROLOGY PA list a primary specialty?
If you are matching referrals, note Urology Physician for GEORGIA UROLOGY PA. Clinical services aligned with this taxonomy classification.
What location shows for GEORGIA UROLOGY PA?
We surface Lawrenceville, Georgia for GEORGIA UROLOGY PA based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Organization.

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GEORGIA UROLOGY PA

Urology Physician
1930 BRANNAN RD
NPI: 1992946792