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 1629222815

Georgia Urology, PA is an Ambulatory Surgical Clinic/Center in Conyers, Georgia. Registered with an NPI since 2008.

In the registry since
2008
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

1301 Sigman Rd NE Ste 250B
Conyers, GA 30012-3812
Phone: (770) 760-9900
Fax: (770) 760-1709
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 number1629222815
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationGeorgia Urology PA
Authorized official Dan Fellner — Ceo · (678) 205-8360
Other names Georgia Urology Asc Conyers; Georgia Urology Asc Conyers
NPI enumeratedNovember 14, 2008
Last updated in NPPESMay 5, 2026
Certification dateMay 5, 2026
Mailing address1930 Brannan Rd, McDonough, GA 30253-4310

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