GEORGIA UROLOGY AMBULATORY SURGERY CENTER SMYRNA LLC – NPI #1902784226
Clinic/Center

GEORGIA UROLOGY AMBULATORY SURGERY CENTER SMYRNA LLC is an AHC clinic located in SMYRNA, GA. NPPES has assigned the NPI number 1902784226 to GEORGIA UROLOGY AMBULATORY SURGERY CENTER SMYRNA LLC on August 25, 2025. 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 19, 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 AMBULATORY SURGERY CENTER SMYRNA LLC below.

NPI Profile for
GEORGIA UROLOGY AMBULATORY SURGERY CENTER SMYRNA LLC

NPI Number
1902784226
Enumeration Date

(about 10 months 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 AMBULATORY SURGERY CENTER SMYRNA LLC
Primary location
4298 ATLANTA RD SE STE 305
SMYRNA, GA 30080-6433
Phone: (770) 429-9100 Fax:
Mailing address
1930 BRANNAN RD
MCDONOUGH, GA 30253-4310
Phone: (678) 284-4040 Fax: (678) 284-4076
Organization Subpart
No
Authorized Official
DANIEL FELLNER
CHIEF EXECUTIVE OFFICER
Phone: (678) 205-8360
Updated
Certification Date
May 19, 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.