Home
/
Specialty
/
Urology
/
GA
/
NPI 1073028643
● Active Type 2 · Organization
Subpart
Georgia Urology PA
Urology · Cumming, GA · NPI 1073028643
·
Enumerated 2017 · 8 years on NPI
Georgia Urology PA is 1 of 563 urology organizations in Georgia.
NPI age
8 years
Enumerated 2017-12-05
Primary specialty
Urology
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Fellner
Ceo
Last NPPES update
2026-05-06
Source: monthly bulk 2026-05
How this organization compares
Across 563 active urology providers in Georgia.
NPI age
8 years
↓ 10 yr below median
Practice locations
1
0 secondary on file
NPI lifetime · 2017 → 2026
2017-12 Enumerated in NPPES
2017
2026
Where they practice
Primary practice location
4150 Deputy Bill Cantrell Memorial Road, Suite 140b
Cumming, GA 30040
📞 7708899737
Mailing address
1930 Brannan Rd
McDonough, GA 302534310
Authorized official
Dan Fellner
Ceo
📞 6782058360
Individual providers at this organization
20 individual providers on file at this primary practice address.
MacKenzie Aaron , MS, BCBA
Behavior Analyst
NPI 1568226892
MacKenzie Baker
Behavior Technician
NPI 1487255196
Surakcha Basnet , RBT
Behavior Technician
NPI 1346017449
Ivan Cervantes , RBT
Behavior Technician
NPI 1871367920
Isabella Chadwick , RBT
Behavior Technician
NPI 1760231062
MacKenzie Chambers , AUD
Audiologist
NPI 1730866591
Tonisha Cherry , OTR/L
Occupational Therapist
NPI 1497375950
Emily Donaldson , RBT
Behavior Technician
NPI 1740088038
Latorya Dopson , RBT
Behavior Technician
NPI 1407436900
Alyssa Fischer , AUD
Audiologist
NPI 1053042911
Linda Gisselle Guerrero , RBT
Behavior Technician
NPI 1740021963
Haley Hay , RBT
Behavior Technician
NPI 1245080407
Emily Hinson , RBT
Behavior Technician
NPI 1194607903
Sophia Huck , RBT
Behavior Technician
NPI 1164109658
Cemi-Leila John , RBT
Behavior Technician
NPI 1457112633
Christina Joseph , RBT
Behavior Technician
NPI 1881435097
Vedha Kumar , RBT
Behavior Technician
NPI 1417721184
Pallavi Kumbla , MD
Plastic Surgery
NPI 1134462534
Frances Ledford , RBT
Behavior Technician
NPI 1427838002
Emely Lizama , RBT
Behavior Technician
NPI 1609643584
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Practice context
Multi-provider organization.
20 individual providers on file at this primary address.
Subpart of Georgia Urology PA .
Provyx · Custom healthcare lists
Need all 563 Urology providers in Georgia?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →
How to verify this organization
Confirm the NPI on NPPES. The CMS registry is the system of record. Open NPPES →
Verify the organization is in good standing. Cross-check with the state's business registration and any applicable licensing boards.
Confirm payer enrollment if billing. NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.