Georgia Urology Fayette Asc
NPI 1265679674 · Ambulatory Surgical Clinic/Center · Fayetteville, GA
Georgia Urology Fayette Asc is a Ambulatory Surgical Clinic/Center organization in Fayetteville, GA (NPI 1265679674).
Provider details
- NPI number
- 1265679674
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Georgia Urology PA
- Organization subpart
- Yes
- Authorized official
- Dan Fellner, Ceo(678) 205-8360
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
17 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
1,035 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Diagnostic Exam of Bladder and Urethra Using an Endoscope52000 | 571 | $303 |
| Ultrasound Scan of Pelvic Region Through Rectum76872 | 150 | $55 |
| Biopsy of Prostate Gland55700 | 74 | $894 |
| Insertion of Sacral Nerve Neurostimulator Electrode Array64561 | 59 | $4,940 |
| Exam With Injections of Chemical for Destruction of Bladder Using an Endoscope52287 | 36 | $900 |
| Simple Removal of Foreign Body, Stone, Or Stent in Urethra Or Bladder Using an Endoscope52310 | 29 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-01-07
- Last updated
- 2026-05-05
- Certified
- 2026-05-05
Frequently asked questions
- What is Georgia Urology Fayette Asc's NPI number?
- Georgia Urology Fayette Asc's National Provider Identifier (NPI) is 1265679674, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Georgia Urology Fayette Asc?
- Georgia Urology Fayette Asc is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Georgia Urology Fayette Asc located?
- Georgia Urology Fayette Asc's practice location on file with NPPES is 1336 Hwy 54w, Fayetteville, GA 30214.
- What is Georgia Urology Fayette Asc's phone number?
- The practice phone number listed in the NPPES registry for Georgia Urology Fayette Asc is (770) 460-9777.
- Who is the authorized official for Georgia Urology Fayette Asc?
- The authorized official listed on Georgia Urology Fayette Asc'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 Fayette Asc's NPI active?
- Yes — Georgia Urology Fayette Asc's NPI (1265679674) is active in the NPPES registry as of the last update on 2026-05-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.