OrganizationActive
Georgia Urology Pediatric LLC
NPI 1770942856 · Pediatric Urology Physician · Atlanta, GA
Provider details
- NPI number
- 1770942856
- Entity type
- Organization
- Primary specialty
- Pediatric Urology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Georgia Urology
- Organization subpart
- Yes
- Authorized official
- Mark Haber, Managing Partner(678) 284-4040
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
5730 Glenridge Dr
Ste 200
Atlanta, GA 30328-6141
Phone: (404) 256-1844
Fax: (404) 252-5642
Street-level locationGet directions
Mailing address
1930 Brannan Rd
Mcdonough, GA 30253-4310
Other names (DBA / former)
- Other name
- Georgia Urology
Registry dates
- Enumerated
- 2016-02-17
- Last updated
- 2016-02-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.