Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Advanced Urology Institute of Georgia PC

Organization Urology Physician · NPI 1790411585

Advanced Urology Institute of Georgia PC is an Urology Physician in Conyers, Georgia. Works from 2 locations. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1366 Wellbrook Cir NE Ste B
Conyers, GA 30012-3872
Phone: (678) 344-8900
Fax: (678) 666-5201
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1357 Oconee Connector, Watkinsville, GA 30677-7311 — (678) 344-8900

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X

Record details

NPI number1790411585
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Beemal Shah — President · (706) 951-8657
NPI enumeratedJuly 25, 2022
Last updated in NPPESJanuary 2, 2025
Certification dateJanuary 2, 2025
Mailing address1551 Janmar Rd, Snellville, GA 30078-5606

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