NPI age
4 years
Enumerated 2022-03-03
● Active Type 2 · Organization
Georgia Urology, PA
Georgia Urology, PA 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
4 years
↓ 11 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 230
Canton, GA 301142852
Mailing address
1930 Brannan Rd
McDonough, GA 302534310
Authorized official
Dan Fellner
Ceo
📞 6782058360
Specialties
-
Clinic/Center PrimaryDefinition to come...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
GA Urology ASC Canton
Practice context
Single-site organization. Only one practice location on file.
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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.