GEORGIA UROLOGY PA – Urology Physician, NPI 1609091891

GEORGIA UROLOGY PA is a healthcare provider. based in Canton, Georgia. specializing in Urology Physician. The NPI Number for GEORGIA UROLOGY PA is 1609091891

Main info

Organization
Name
GEORGIA UROLOGY PA
NPI
1609091891
Phone
(770) 720-7246
Address
470 NORTHSIDE CHEROKEE BLVD STE 201
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

  • 470 NORTHSIDE CHEROKEE BLVD STE 201

    CANTON, GA 301158015

    Phone: (770) 720-7246

    Fax: (770) 720-4620

    Type: Location

  • 1930 BRANNAN RD

    MCDONOUGH, GA 302534310

    Phone: (678) 284-4040

    Fax: (678) 284-4076

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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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 30115)

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Frequently asked questions

How do payers reference GEORGIA UROLOGY PA?
For GEORGIA UROLOGY PA, use NPI 1609091891 as the unique 10-digit identifier.
Would GEORGIA UROLOGY PA appear as active to a payer?
You can treat GEORGIA UROLOGY PA as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is GEORGIA UROLOGY PA?
GEORGIA UROLOGY PA is associated with Urology Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with GEORGIA UROLOGY PA?
Directory geography for GEORGIA UROLOGY PA centers on Canton, Georgia.
Can I trust this NPI listing for GEORGIA UROLOGY PA?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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