NPI age
1 years
Enumerated 2024-12-17
● Active Type 2 · Organization
Subpart
Georgia Urology Northeast Llc
Georgia Urology Northeast Llc is 1 of 563 urology organizations in Georgia.
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
1 years
↓ 17 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2024 → 2026
2024-12Enumerated in NPPES
2024
2026
Where they practice
Primary practice location
1223 Friendship Rd., Bldg. 400, Suite 100
Braselton, GA 30517
Mailing address
1930 Brannan Rd
McDonough, GA 302534310
Authorized official
Dan Fellner
Ceo
📞 6782844040
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Michael Butzen, DNP Nurse Practitioner NPI 1760036776
Specialties
-
Urology PrimaryA urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of...
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
Subpart of Georgia Urology, PA.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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