NPI age
19 years
Enumerated 2006-07-22
● Active Type 2 · Organization
Subpart
Georgia Urology Ambulatory Surgical Center Llc
Georgia Urology Ambulatory Surgical Center Llc 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
Haber
Managing Partner
Last NPPES update
2015-01-20
Source: monthly bulk 2026-05
How this organization compares
Across 602 active clinic/center providers in Georgia.
NPI age
19 years
↑ 4 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-07Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
2685 Milscott Dr
Decatur, GA 300335906
Mailing address
1930 Brannan Rd
McDonough, GA 302534310
Authorized official
Mark A Haber, MD
Managing Partner
📞 6782844049
Individual providers at this organization
10 individual providers on file at this primary practice address.
- Christine Callaway, MD Urology NPI 1548826928
- Daniel Canter, MD Urology NPI 1689730061
- Ebony Crosland, NP Nurse Practitioner NPI 1174236111
- Walter Falconer, M.D. Urology NPI 1841393188
- Brandon Harper Physician Assistant NPI 1912756263
- Aleysia Jones, PHYSICIAN ASSISTANT Physician Assistant NPI 1952863961
- Michael Kemper, M.D. Urology NPI 1255746871
- Brittany Mize, FNP-BC Nurse Practitioner NPI 1053067637
- Lambda Msezane, M.D. Urology NPI 1306092184
- Pushan Paul Physician Assistant NPI 1164282265
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 11D1025964 | 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 →
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