GEORGIA UROLOGY, PA – NPI #1861222119
Clinic/Center

GEORGIA UROLOGY, PA is an AHC clinic located in BRASELTON, GA. NPPES has assigned the NPI number 1861222119 to GEORGIA UROLOGY, PA on August 02, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was last updated on May 05, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GEORGIA UROLOGY, PA below.

NPI Profile for
GEORGIA UROLOGY, PA

NPI Number
1861222119
Enumeration Date

(about 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GEORGIA UROLOGY, PA
Primary location
1223 FRIENDSHIP RD.
BLDG. 400, SUITE 110
BRASELTON, GA 30517
Phone: (770) 963-2451 Fax:
Mailing address
1930 BRANNAN RD
MCDONOUGH, GA 30253-4310
Phone: (678) 284-4040 Fax:
Organization Subpart
Yes - GEORGIA UROLOGY, PA is subpart of another organization.
Authorized Official
DAN FELLNER
CEO
Phone: (678) 205-8360
Updated
Certification Date
May 05, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.