OrganizationActive
Eastside Urology
NPI 1073720959 · Urology Physician · Snellville, GA
Eastside Urology is a Urology Physician organization in Snellville, GA (NPI 1073720959).
Provider details
- NPI number
- 1073720959
- Entity type
- Organization
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Carolyn Vickers, Director of Billing(770) 736-8368
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2121 Fountain Dr
Suite D
Snellville, GA 30078-7023
Phone: (770) 736-8368
Fax: (770) 736-8410
Street-level locationGet directions
Mailing address
2121 Fountain Dr
Snellville, GA 30078-7023
Registry dates
- Enumerated
- 2007-05-17
- Last updated
- 2020-08-22
Frequently asked questions
- What is Eastside Urology's NPI number?
- Eastside Urology's National Provider Identifier (NPI) is 1073720959, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Eastside Urology?
- Eastside Urology is classified in the NPPES registry as Urology Physician (Allopathic & Osteopathic Physicians).
- Where is Eastside Urology located?
- Eastside Urology's practice location on file with NPPES is 2121 Fountain Dr, Snellville, GA 30078-7023.
- What is Eastside Urology's phone number?
- The practice phone number listed in the NPPES registry for Eastside Urology is (770) 736-8368.
- Who is the authorized official for Eastside Urology?
- The authorized official listed on Eastside Urology's NPPES record is Carolyn Vickers, Director of Billing. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Eastside Urology's NPI active?
- Yes — Eastside Urology's NPI (1073720959) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.