OrganizationActive
Georgia Urology Piedmont, LLC
NPI 1861026619 · Urology Physician · Fayetteville, GA
Georgia Urology Piedmont, LLC is a Urology Physician organization in Fayetteville, GA (NPI 1861026619).
Provider details
- NPI number
- 1861026619
- Entity type
- Organization
- Primary specialty
- 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
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
1336 Highway 54 W Bldg 200
Fayetteville, GA 30214-4574
Phone: (770) 460-9777
Street-level locationGet directions
Mailing address
1930 Brannan Rd
Mcdonough, GA 30253-4310
Additional practice locations (1)
- 1301 Sigman Rd Ne Ste 250aConyers, GA 30012-3812Phone: (770) 760-9900
Registry dates
- Enumerated
- 2020-03-02
- Last updated
- 2020-04-20
- Certified
- 2020-04-20
Frequently asked questions
- What is Georgia Urology Piedmont, LLC's NPI number?
- Georgia Urology Piedmont, LLC's National Provider Identifier (NPI) is 1861026619, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Georgia Urology Piedmont, LLC?
- Georgia Urology Piedmont, LLC is classified in the NPPES registry as Urology Physician (Allopathic & Osteopathic Physicians).
- Where is Georgia Urology Piedmont, LLC located?
- Georgia Urology Piedmont, LLC's practice location on file with NPPES is 1336 Highway 54 W Bldg 200, Fayetteville, GA 30214-4574.
- What is Georgia Urology Piedmont, LLC's phone number?
- The practice phone number listed in the NPPES registry for Georgia Urology Piedmont, LLC is (770) 460-9777.
- Who is the authorized official for Georgia Urology Piedmont, LLC?
- The authorized official listed on Georgia Urology Piedmont, LLC's NPPES record is Mark Haber, Managing Partner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Georgia Urology Piedmont, LLC's NPI active?
- Yes — Georgia Urology Piedmont, LLC's NPI (1861026619) is active in the NPPES registry as of the last update on 2020-04-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.