Organization
GEORGIA UROLOGY PA
Active
Parent organization
GEORGIA UROLOGY PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
GEORGIA UROLOGY PA
Authorized official
DAN FELLNER (CEO)
(678) 205-8360
Entity
Organization
Contact information
Practice address
3903 S COBB DR SE, SUITE 200, SMYRNA, GA 30080-8504
(770) 948-7228
(770) 948-7239
Mailing address
1930 BRANNAN RD, MCDONOUGH, GA 30253-4310
(678) 284-4041
(678) 284-4079
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11D2052148
CLIA
GA
Enumeration date
12/11/2012
Last updated
05/06/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us