NPI age
13 years
Enumerated 2012-12-11
● Active Type 2 · Organization
Subpart
Georgia Urology PA
Georgia Urology PA 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
13 years
↓ 5 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2012 → 2026
2012-12Enumerated in NPPES
2012
2026
Where they practice
Primary practice location
3903 S Cobb Dr Se, Suite 200
Smyrna, GA 300808504
Mailing address
1930 Brannan Rd
McDonough, GA 302534310
Authorized official
Dan Fellner
Ceo
📞 6782058360
Individual providers at this organization
16 individual providers on file at this primary practice address.
- Megan Allen, CSW Social Worker NPI 1073864237
- Karin Brown, R.N. Registered Nurse NPI 1285942102
- Victoria Carr, PA Physician Assistant NPI 1114345089
- Camille Chapleau, APC Counselor NPI 1427309681
- J Corso, MD Internal Medicine NPI 1427065564
- Alice Fazekas, PA Physician Assistant NPI 1295824324
- Miguel Jimenez, M.D. Orthopaedic Surgery NPI 1649204751
- Crystal Johnson, FNP-BC Nurse Practitioner NPI 1326443284
- Chitra Kanyadan, MD Hospitalist NPI 1033175120
- Sanjay Khant, MD Internal Medicine NPI 1437109493
- Andrew Milby, MD Orthopaedic Surgery NPI 1396063640
- Alicia Overton, PA Physician Assistant NPI 1467532788
- Adriana Stanley, LPC Counselor NPI 1477594869
- Anthony Wade, PA-C Physician Assistant NPI 1205944840
- Christine Wasilewski, APRN-C Nurse Practitioner NPI 1083839856
- Dawn Wolak, ANP-BC Nurse Practitioner NPI 1093815235
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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 11D2052148 | CLIA |
Practice context
Multi-provider organization. 16 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.