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

Georgia Urology, PA

Organization Urology Physician · NPI 1093369795

Georgia Urology, PA is an Urology Physician in Canton, Georgia. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

470 Northside Cherokee Blvd Ste 210
Canton, GA 30115-8029
Phone: (770) 720-7246
Show map & directions

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

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X

Record details

NPI number1093369795
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationGeorgia Urology PA
Authorized official Dan Fellner — Ceo · (678) 205-8360
NPI enumeratedJuly 31, 2019
Last updated in NPPESMay 6, 2026
Certification dateMay 6, 2026
Mailing address1930 Brannan Rd, McDonough, GA 30253-4310

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