NPI age
19 years
Enumerated 2007-04-18
● 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
19 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-04Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
33 Upper Riverdale Rd Sw, Suite 105
Riverdale, GA 302742626
Mailing address
1930 Brannan Rd
McDonough, GA 302534310
Authorized official
Dan Fellner
Ceo
📞 6782058360
Individual providers at this organization
8 individual providers on file at this primary practice address.
- Robin Alverson, MMS, CCC-A Audiologist NPI 1831391820
- Darrell Carmen, M.D. Urology NPI 1447368626
- Matthew Davis, M.D. Otolaryngology NPI 1225105489
- Michael Dicristina, M.D. Internal Medicine NPI 1144226135
- Kevin Freeman, M.D. Specialist NPI 1427069806
- Jeffrey Kunkes, MD Otolaryngology NPI 1538166574
- Glenn Shear, M.D. Ophthalmology NPI 1285644542
- Barry Zisholtz, M.D. Urology NPI 1265441349
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) | 11D0902137 | CLIA |
Practice context
Multi-provider organization. 8 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 →
- 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.