GEORGIA UROLOGY NORTHEAST LLC – Urology Physician, NPI 1205643897

GEORGIA UROLOGY NORTHEAST LLC is a healthcare provider. based in Mcdonough, Georgia. specializing in Urology Physician. The NPI Number for GEORGIA UROLOGY NORTHEAST LLC is 1205643897

Main info

Organization
Name
GEORGIA UROLOGY NORTHEAST LLC
NPI
1205643897
Phone
(678) 284-4040
Address
1930 BRANNAN RD
Authorized Official
DAN FELLNER CEO
Enumeration Date
17 December 2024
Last Update Date
6 May 2026
Data current as of
3 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience17
Completeness85
Years active:1State licenses:0Digital endpointsOther names

Provider Addresses for GEORGIA UROLOGY NORTHEAST LLC

  • 1930 BRANNAN RD

    MCDONOUGH, GA 302534310

    Phone: (678) 284-4040

    Type: Mailing

  • 1223 FRIENDSHIP RD.

    BLDG. 400, SUITE 100

    BRASELTON, GA 30517

    Phone: (678) 205-8387

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

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

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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 30253)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How do payers reference GEORGIA UROLOGY NORTHEAST LLC?
For GEORGIA UROLOGY NORTHEAST LLC, use NPI 1205643897 as the unique 10-digit identifier.
Active or inactive — what applies to GEORGIA UROLOGY NORTHEAST LLC?
You should see GEORGIA UROLOGY NORTHEAST LLC as active in CMS-hosted NPPES data.
How would a patient describe GEORGIA UROLOGY NORTHEAST LLC's focus?
For GEORGIA UROLOGY NORTHEAST LLC, the primary taxonomy reads as Urology Physician. Clinical services aligned with this taxonomy classification.
Is GEORGIA UROLOGY NORTHEAST LLC located near Mcdonough?
GEORGIA UROLOGY NORTHEAST LLC currently maps to Mcdonough, Georgia in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

Similar Providers

1336 HIGHWAY 54 W
NPI: 1407856552
1930 BRANNAN RD
NPI: 1003816166

JERRY YUAN (M.D.)

Urology Physician
11459, Johns Creek Parkway, Johns Creek, Fulton County, Georgia, 30097, United States
NPI: 1104895762

DOUGLAS A NYHOFF (M.D.)

Urology Physician
1930 BRANNAN RD
NPI: 1992768840
1930 BRANNAN RD
NPI: 1619929973

BERT TSI CHEN (M.D.)

Urology Physician
1930 BRANNAN RD
NPI: 1376576124

HOWARD C GOLDBERG (MD)

Urology Physician
1930 BRANNAN RD
NPI: 1659303808

GEORGIA UROLOGY PA

Urology Physician
33, Upper Riverdale Road, Sherwood Park, Riverdale, Clayton County, Georgia, 30274, United States
NPI: 1245250646

BARRY M ZISHOLTZ (M.D.)

Urology Physician
33, Upper Riverdale Road, Sherwood Park, Riverdale, Clayton County, Georgia, 30274, United States
NPI: 1265441349