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

Georgia Urology, PA

Organization Ambulatory Surgical Clinic/Center · NPI 1598412256

Georgia Urology, PA is an Ambulatory Surgical Clinic/Center in Canton, Georgia. Registered with an NPI since 2022.

In the registry since
2022
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

100 Liberty Blvd Ste 230
Canton, GA 30114-2852
Phone: (770) 720-7246
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 number1598412256
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dan Fellner — Ceo · (678) 205-8360
Other names Ga Urology Asc Canton
NPI enumeratedMarch 3, 2022
Last updated in NPPESMay 5, 2026
Certification dateMay 5, 2026
Mailing address1930 Brannan Rd, McDonough, GA 30253-4310

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