OrganizationActive
Georgia Urology PA
NPI 1174749055 · Pediatric Urology Physician · Atlanta, GA
Provider details
- NPI number
- 1174749055
- Entity type
- Organization
- Primary specialty
- Pediatric Urology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Georgia Urology PA
- Organization subpart
- Yes
- Authorized official
- Dan Fellner, Ceo(678) 205-8360
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
5445 Meridian Marks Rd Ne
Suite 420
Atlanta, GA 30342-4763
Phone: (404) 252-5206
Fax: (404) 252-1268
Approximate (ZIP-level) locationGet directions
Mailing address
1930 Brannan Rd
Mcdonough, GA 30253-4310
Registry dates
- Enumerated
- 2007-04-18
- Last updated
- 2026-05-06
- Certified
- 2026-05-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.