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 1639499627

Georgia Urology, PA is an Ambulatory Surgical Clinic/Center in Smyrna, Georgia. Registered with an NPI since 2010.

In the registry since
2010
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

4298 Atlanta Rd SE Ste 305
Smyrna, GA 30080
Phone: (770) 429-9100
Fax: (770) 429-1391
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 number1639499627
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationGeorgia Urology, PA
Authorized official Dan Fellner — Ceo · (678) 284-4040
Other names Georgia Urology Asc Marietta
NPI enumeratedJune 2, 2010
Last updated in NPPESSeptember 2, 2025
Certification dateApril 14, 2025
Mailing address1930 Brannan Rd, McDonough, GA 30253-4310

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