OrganizationActive
Georgia Urology, PA
NPI 1457009664 · Urology Physician · Canton, GA
Georgia Urology, PA is a Urology Physician organization in Canton, GA (NPI 1457009664).
Provider details
- NPI number
- 1457009664
- Entity type
- Organization
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Dan Fellner, Ceo(678) 205-8360
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
100 Liberty Blvd Ste 240
Canton, GA 30114-2852
Phone: (770) 720-7246
Street-level locationGet directions
Mailing address
1930 Brannan Rd
Mcdonough, GA 30253-4310
Other names (DBA / former)
- Doing business as
- Canton Office at Liberty Blvd
Registry dates
- Enumerated
- 2022-03-16
- Last updated
- 2026-05-06
- Certified
- 2026-05-06
Frequently asked questions
- What is Georgia Urology, PA's NPI number?
- Georgia Urology, PA's National Provider Identifier (NPI) is 1457009664, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Georgia Urology, PA?
- Georgia Urology, PA is classified in the NPPES registry as Urology Physician (Allopathic & Osteopathic Physicians).
- Where is Georgia Urology, PA located?
- Georgia Urology, PA's practice location on file with NPPES is 100 Liberty Blvd Ste 240, Canton, GA 30114-2852.
- What is Georgia Urology, PA's phone number?
- The practice phone number listed in the NPPES registry for Georgia Urology, PA is (770) 720-7246.
- Who is the authorized official for Georgia Urology, PA?
- The authorized official listed on Georgia Urology, PA'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, PA's NPI active?
- Yes — Georgia Urology, PA's NPI (1457009664) 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.