P Praxis·MD
● Active Type 2 · Organization

Georgia Urology, PA

Urology·Canton, GA· NPI 1457009664 · Enumerated 2022 · 4 years on NPI
Georgia Urology, PA is 1 of 563 urology organizations in Georgia.
NPI age
4 years
Enumerated 2022-03-16
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
4 years
↓ 14 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2022 → 2026

2022-03Enumerated in NPPES
2022 2026

Where they practice

Primary practice location
100 Liberty Blvd Ste 240
Canton, GA 301142852
📞 7707207246
Mailing address
1930 Brannan Rd
McDonough, GA 302534310

Authorized official

Dan Fellner
Ceo
📞 6782058360

Specialties

  • Urology Primary
    A 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...
    taxonomy 208800000X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Canton Office at Liberty Blvd
    Type code 3 recorded 2022-03-03

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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