NPI age
15 years
Enumerated 2010-06-02
● Active Type 2 · Organization
Subpart
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
2025-09-02
Source: monthly bulk 2026-05
How this organization compares
Across 602 active clinic/center providers in Georgia.
NPI age
15 years
≈ at median (15 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2010 → 2026
2010-06Enumerated in NPPES
2010
2026
Where they practice
Primary practice location
4298 Atlanta Rd. Se, Suite 305
Smyrna, GA 30080
Mailing address
1930 Brannan Rd
McDonough, GA 302534310
Authorized official
Dan Fellner
Ceo
📞 6782844040
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Carrie Collin, MSN,FNP Nurse Practitioner NPI 1194230961
Specialties
-
Clinic/Center PrimaryDefinition to come...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Georgia Urology ASC Marietta
Practice context
Multi-provider organization. 1 individual provider 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 →
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