OrganizationActive
Georgia Urology Pediatric LLC
NPI 1821019076 · Pediatric Urology Physician · Atlanta, GA
Provider details
- NPI number
- 1821019076
- Entity type
- Organization
- Primary specialty
- Pediatric Urology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Georgia Urology, PA
- Organization subpart
- Yes
- Authorized official
- Mark Haber, Managing Partner(678) 284-4049
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
5445 Meridian Marks Rd Ne
Suite 420
Atlanta, GA 30342-4763
Phone: (404) 252-5206
Fax: (404) 252-1268
Street-level locationGet directions
Mailing address
1930 Brannan Rd
Mcdonough, GA 30253-4310
Registry dates
- Enumerated
- 2006-07-22
- Last updated
- 2015-01-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.