Georgia Urology, PA
NPI 1861222119 · Ambulatory Surgical Clinic/Center · Braselton, GA
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Georgia Urology, PA is a Ambulatory Surgical Clinic/Center organization in Braselton, GA (NPI 1861222119).
Provider details
- NPI number
- 1861222119
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Georgia Urology, PA
- Organization subpart
- Yes
- Authorized official
- Dan Fellner, Ceo(678) 205-8360
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
Mailing address
Registry dates
- Enumerated
- 2024-08-02
- Last updated
- 2026-05-05
- Certified
- 2026-05-05
Frequently asked questions
- What is Georgia Urology, PA's NPI number?
- Georgia Urology, PA's National Provider Identifier (NPI) is 1861222119, 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 Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Georgia Urology, PA located?
- Georgia Urology, PA's practice location on file with NPPES is 1223 Friendship Rd., Braselton, GA 30517.
- What is Georgia Urology, PA's phone number?
- The practice phone number listed in the NPPES registry for Georgia Urology, PA is (770) 963-2451.
- Does Georgia Urology, PA accept Medicare?
- Georgia Urology, PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- 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 (1861222119) is active in the NPPES registry as of the last update on 2026-05-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.