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

Georgia Urology PA

Organization Urology Physician · NPI 1407071699

Georgia Urology PA is an Urology Physician in Stockbridge, Georgia. Registered with an NPI since 2007.

In the registry since
2007
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

119 N Park Trl
Stockbridge, GA 30281-7373
Phone: (770) 389-3739
Fax: (770) 389-6565
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X

Record details

NPI number1407071699
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationGeorgia Urology PA
Authorized official Dan Fellner — Ceo · (678) 205-8360
NPI enumeratedApril 15, 2007
Last updated in NPPESMay 6, 2026
Certification dateMay 6, 2026
Mailing address1930 Brannan Rd, McDonough, GA 30253-4310

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