GEORGIA UROLOGY PA – Pediatric Urology Physician, NPI 1174749055

GEORGIA UROLOGY PA is a healthcare provider. based in Mcdonough, Georgia. specializing in Pediatric Urology Physician. The NPI Number for GEORGIA UROLOGY PA is 1174749055

Main info

Organization
Name
GEORGIA UROLOGY PA
NPI
1174749055
Phone
(678) 284-4040
Address
1930 BRANNAN RD
Authorized Official
DAN FELLNER CEO
Enumeration Date
18 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

  • 1930 BRANNAN RD

    MCDONOUGH, GA 302534310

    Phone: (678) 284-4040

    Fax: (678) 284-4076

    Type: Mailing

  • 5445 MERIDIAN MARKS RD NE

    SUITE 420

    ATLANTA, GA 303424763

    Phone: (404) 252-5206

    Fax: (404) 252-1268

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

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Medicare Utilization (FFS)

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

Insurance plans in this area (ZIP 30253)

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Reviews

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Frequently asked questions

Is there an official ID for GEORGIA UROLOGY PA in U.S. healthcare records?
The official identifier for GEORGIA UROLOGY PA is NPI 1174749055.
Is there an active status for GEORGIA UROLOGY PA?
For scheduling context, GEORGIA UROLOGY PA is shown as active in the registry.
How would a patient describe GEORGIA UROLOGY PA's focus?
For GEORGIA UROLOGY PA, the primary taxonomy reads as Pediatric Urology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for GEORGIA UROLOGY PA?
Travel planning: use Mcdonough, Georgia as the reference point for GEORGIA UROLOGY PA, then confirm.
When was this NPI issued?
Enumeration for GEORGIA UROLOGY PA is noted as April 18, 2007 where the registry provides it.

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