Organization
GEORGIA UROLOGY PA
Active
Organization
GEORGIA UROLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAN FELLNER (CEO)
(678) 205-8360
Entity
Organization
Contact information
Practice address
6000 HILLANDALE DR STE 110, LITHONIA, GA 30058-4858
(678) 205-8455
(678) 284-4078
Mailing address
1930 BRANNAN RD, MCDONOUGH, GA 30253-4310
(678) 284-4049
(678) 284-4078
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
04/11/2019
Last updated
05/06/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up