NPI age
13 years
Enumerated 2013-01-23
● Active Type 2 · Organization
Subpart
Georgia Urology PA
Georgia Urology PA is 1 of 23 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 23 active urology providers in Georgia.
NPI age
13 years
↓ 6 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2013 → 2026
2013-01Enumerated in NPPES
2013
2026
Where they practice
Primary practice location
1275 Highway 54 W, Suite 205
Fayetteville, GA 302144549
Mailing address
1930 Brannan Rd
McDonough, GA 302534310
Authorized official
Dan Fellner
Ceo
📞 6782058360
Individual providers at this organization
10 individual providers on file at this primary practice address.
- Shannon Alexander, OTR L Occupational Therapist NPI 1285784819
- Anthony Braim, PT, MPT Physical Therapist NPI 1982838561
- Wallace Green, PAC Psychiatry & Neurology NPI 1306979059
- Aaron Honeycutt, PT, DPT Physical Therapist NPI 1457686917
- William Mowery, PTA Physical Therapy Assistant NPI 1952843013
- J. Owsley-Brown, DMD Dentist NPI 1144254004
- Leslie Rosenblatt-Brown, PA-C Physician Assistant NPI 1801906474
- Martha Schuh, M.D. Specialist NPI 1629046768
- John Sims, N.P. Nurse Practitioner NPI 1447402086
- Matthew Watson, PT Physical Therapist NPI 1609283225
Specialties
-
Urology PrimarySurgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 11D0704402 | CLIA |
Practice context
Multi-provider organization. 10 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.