NPI age
17 years
Enumerated 2009-03-09
● Active Type 2 · Organization
Subpart
Georgia Urology PA
Georgia Urology PA 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
Fellner
Ceo
Last NPPES update
2026-05-06
Source: monthly bulk 2026-05
How this organization compares
Across 563 active urology providers in Georgia.
NPI age
17 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2009 → 2026
2009-03Enumerated in NPPES
2009
2026
Where they practice
Primary practice location
720 Old Snellville Hwy, Suite 100
Lawrenceville, GA 300446216
Mailing address
1930 Brannan Rd
McDonough, GA 302534310
Authorized official
Dan Fellner
Ceo
📞 6782058360
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Lori Duran, RN Registered Nurse NPI 1770436941
- Caz Goodman, D.C. Chiropractor NPI 1336261189
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) | P00745321 | MEDICARE RAILROAD PTAN |
Practice context
Multi-provider organization. 2 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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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.