NPI age
17 years
Enumerated 2009-01-07
● Active Type 2 · Organization
Subpart
Georgia Urology Fayette Asc
Georgia Urology Fayette Asc is 1 of 602 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Fellner
Ceo
Last NPPES update
2026-05-05
Source: monthly bulk 2026-05
How this organization compares
Across 602 active clinic/center providers in Georgia.
NPI age
17 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2009 → 2026
2009-01Enumerated in NPPES
2009
2026
Where they practice
Primary practice location
1336 Hwy 54w, Bldg 100, Suite 101
Fayetteville, GA 30214
Mailing address
1930 Brannan Rd
McDonough, GA 302534310
Authorized official
Dan Fellner
Ceo
📞 6782058360
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Komalpreet Kaur, PA-C Physician Assistant NPI 1992654651
- Emma Romigh, PA Physician Assistant NPI 1093694572
Specialties
-
Clinic/Center PrimaryDefinition to come...
Practice context
Multi-provider organization. 2 individual providers 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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