NPI age
19 years
Enumerated 2007-02-26
● Active Type 2 · Organization
Southeastern Urology Associates
Southeastern Urology Associates 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
Wilfong
President
Last NPPES update
2009-06-04
Source: monthly bulk 2026-05
How this organization compares
Across 563 active urology providers in Georgia.
NPI age
19 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-02Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
380 Hospital Dr, Ste 320
MacOn, GA 312178001
Mailing address
380 Hospital Dr, Ste 320
MacOn, GA 312178001
Authorized official
W Winston Wilfong, MD
President
📞 4787425331
Individual providers at this organization
20 individual providers on file at this primary practice address.
- Korie Agudelo, CRNA Nurse Anesthetist, Certified Registered NPI 1891094165
- Victor Andress, MD Urology NPI 1659407567
- Maurice Arnold, M.D. Surgery NPI 1750440574
- Michael Arnold, CRNA Nurse Anesthetist, Certified Registered NPI 1720159544
- Sallie Bateman, PA/AA Anesthesiologist Assistant NPI 1295743003
- Gerardo Blanco Chacon, MD Student in an Organized Health Care Education/Training Program NPI 1134923949
- Andres Brito Student in an Organized Health Care Education/Training Program NPI 1023905874
- Virginia Crouse, CRNA Nurse Anesthetist, Certified Registered NPI 1013370287
- Paul Firth, MD Obstetrics & Gynecology NPI 1831298652
- Michael Fuller, MD Anesthesiology NPI 1558379388
- Christie Gibson, PA-AC Anesthesiologist Assistant NPI 1154641447
- Deana Grogan, PA/AA Anesthesiologist Assistant NPI 1962667436
- Anuradha Haridhas Student in an Organized Health Care Education/Training Program NPI 1831037647
- Kathryn Hill, CRNA Nurse Anesthetist, Certified Registered NPI 1336340330
- Michelle Johnston, AA Anesthesiologist Assistant NPI 1699172924
- Kristy Jones Student in an Organized Health Care Education/Training Program NPI 1720899644
- Brandon Kirshner, MD Internal Medicine NPI 1396278933
- Lester Leggette, PA-AA Anesthesiologist Assistant NPI 1871584417
- Thomas Leigh, M.D. Obstetrics & Gynecology NPI 1326055948
- Ma Lourdes Mina, MD Obstetrics & Gynecology NPI 1659558286
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) | 340005163 | RR MEDICARE-WILFONG |
| 01 (GA) | 340007314 | RR MEDICARE PATTERSON |
| 01 (GA) | CL8455 | RR MEDICARE GRP # |
Practice context
Multi-provider organization. 20 individual providers on file at this primary address.
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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.