OrganizationActive
Georgia Urology Northeast LLC
NPI 1205643897 · Urology Physician · Braselton, GA
Georgia Urology Northeast LLC is a Urology Physician organization in Braselton, GA (NPI 1205643897).
Provider details
- NPI number
- 1205643897
- Entity type
- Organization
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Georgia Urology, PA
- Organization subpart
- Yes
- Authorized official
- Dan Fellner, Ceo(678) 284-4040
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
1223 Friendship Rd.
Bldg. 400, Suite 100
Braselton, GA 30517
Phone: (678) 205-8387
Street-level locationGet directions
Mailing address
1930 Brannan Rd
Mcdonough, GA 30253-4310
Registry dates
- Enumerated
- 2024-12-17
- Last updated
- 2026-05-06
- Certified
- 2026-05-06
Frequently asked questions
- What is Georgia Urology Northeast LLC's NPI number?
- Georgia Urology Northeast LLC's National Provider Identifier (NPI) is 1205643897, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Georgia Urology Northeast LLC?
- Georgia Urology Northeast LLC is classified in the NPPES registry as Urology Physician (Allopathic & Osteopathic Physicians).
- Where is Georgia Urology Northeast LLC located?
- Georgia Urology Northeast LLC's practice location on file with NPPES is 1223 Friendship Rd., Braselton, GA 30517.
- What is Georgia Urology Northeast LLC's phone number?
- The practice phone number listed in the NPPES registry for Georgia Urology Northeast LLC is (678) 205-8387.
- Who is the authorized official for Georgia Urology Northeast LLC?
- The authorized official listed on Georgia Urology Northeast LLC's NPPES record is Dan Fellner, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Georgia Urology Northeast LLC's NPI active?
- Yes — Georgia Urology Northeast LLC's NPI (1205643897) is active in the NPPES registry as of the last update on 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.