GEORGIA UROLOGY, PA – NPI #1003428590
Urology

A 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 congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Health Care Provider Taxonomy Code for Urology

GEORGIA UROLOGY, PA is an urologist located in CUMMING, GA. NPPES has assigned the NPI number 1003428590 to GEORGIA UROLOGY, PA on August 18, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208800000X from the Health Care Provider Taxonomy code set, which is classified as Urology.

The NPI profile was last updated on May 06, 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
1003428590
Enumeration Date

(about 6 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
4150 DEPUTY BILL CANTRELL MEMORIAL RD.
SUITE 140A
CUMMING, GA 30040
Phone: (770) 889-9737 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 06, 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
208800000X
- Urology (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.