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 1245250646

Georgia Urology PA is an Urology Physician in Riverdale, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006
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

33 Uppr Riverdale RD SW Ste 105
Riverdale, GA 30274-2626
Phone: (770) 991-0020
Fax: (770) 994-9729
Show map & directions

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

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X (GA)

Record details

NPI number1245250646
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dan Fellner — Ceo · (678) 205-8360
NPI enumeratedJuly 20, 2006
Last updated in NPPESMay 6, 2026
Certification dateMay 6, 2026
Mailing address1930 Brannan Rd, McDonough, GA 30253-4310

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