OrganizationActive
Georgia Urology PA
NPI 1265995724 · Non-Pharmacy Dispensing Site · Lithonia, GA
Provider details
- NPI number
- 1265995724
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Organization subpart
- No
- Authorized official
- Dan Fellner, Ceo(678) 205-8360
Specialties & taxonomies
Suppliers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
6000 Hillandale Dr Ste 110
Lithonia, GA 30058-4858
Phone: (678) 205-8455
Fax: (678) 284-4078
Approximate (ZIP-level) locationGet directions
Mailing address
1930 Brannan Rd
Mcdonough, GA 30253-4310
Registry dates
- Enumerated
- 2019-04-11
- 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.