NPI age
19 years
Enumerated 2006-10-04
● Active Type 2 · Organization
Georgia Lithotripsy And Laser Center
Georgia Lithotripsy And Laser Center is 1 of 602 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Allen
President
Last NPPES update
2008-11-05
Source: monthly bulk 2026-05
How this organization compares
Across 602 active clinic/center providers in Georgia.
NPI age
19 years
↑ 4 yr above median
Practice locations
1
0 secondary on file
Subspecialties
2
In the 6% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-10Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
120 Trinity Pl
Athens, GA 306072100
Mailing address
120 Trinity Pl
Athens, GA 306072100
Authorized official
David C Allen
President
📞 7065432718
Individual providers at this organization
5 individual providers on file at this primary practice address.
- David Allen, M.D. Urology NPI 1669471496
- Marie Anderson, P.A. Physician Assistant NPI 1013916774
- Grady Elmore, N.P. Nurse Practitioner NPI 1205834009
- Jay Rains Physician Assistant NPI 1043718331
- Amanda Stephens, NP Nurse Practitioner NPI 1194148767
Specialties
-
Clinic/Center PrimaryDefinition to come...
-
Clinic/CenterDefinition to come...
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Clinic/CenterDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 590 | BLUE CROSS BLUE SHIELD |
| 05 (GA) | 00451316A | |
| 01 (GA) | 581596177001 | CHAMPUS |
Practice context
Multi-provider organization. 5 individual providers on file at this primary address.
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- 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.