NPI age
14 years
Enumerated 2011-08-29
● 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
14 years
↓ 4 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2011 → 2026
2011-08Enumerated in NPPES
2011
2026
Where they practice
Primary practice location
4450 Calibre Xing Nw, Ste 1200
Acworth, GA 301014103
Mailing address
1930 Brannan Rd
McDonough, GA 302534310
Authorized official
Dan Fellner
Ceo
📞 6782058360
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Johnathan Chappell, M.D. Dermatology NPI 1831385897
- Sydney Galvin Nurse Practitioner NPI 1871128256
- Roul Sircar, M.D. Internal Medicine NPI 1336146174
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) | 11D2033897 | CLIA |
Practice context
Multi-provider organization. 3 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.