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

Georgia Urology Fayette ASC

Organization Ambulatory Surgical Clinic/Center · NPI 1265679674

Georgia Urology Fayette ASC is an Ambulatory Surgical Clinic/Center in Fayetteville, Georgia. Registered with an NPI since 2009.

In the registry since
2009

Practice location Address checks out

1336 Hwy 54W Bldg 100 Ste 101
Fayetteville, GA 30214
Phone: (770) 460-9777
Fax: (770) 460-0650
Show map & directions

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

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X

Record details

NPI number1265679674
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationGeorgia Urology PA
Authorized official Dan Fellner — Ceo · (678) 205-8360
NPI enumeratedJanuary 7, 2009
Last updated in NPPESMay 5, 2026
Certification dateMay 5, 2026
Mailing address1930 Brannan Rd, McDonough, GA 30253-4310

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