GEORGIA UROLOGY PA – NPI #1689847543
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 JOHNS CREEK, GA. NPPES has assigned the NPI number 1689847543 to GEORGIA UROLOGY PA on April 10, 2008. 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
1689847543
Enumeration Date

(more than 18 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
11459 JOHNS CREEK PKWY
SUITE 170
JOHNS CREEK, GA 30097-3515
Phone: (678) 417-0400 Fax: (678) 417-0483
Mailing address
1930 BRANNAN RD
MCDONOUGH, GA 30253-4310
Phone: (678) 284-4040 Fax: (678) 284-4076
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.

Identifiers

Identifiers for GEORGIA UROLOGY PA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherCLIAGA11D0965096
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.