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 1699328369

Georgia Urology, PA is an Ambulatory Surgical Clinic/Center in Decatur, Georgia. Registered with an NPI since 2019.

In the registry since
2019
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

1670 Scott Blvd Ste 204K
Decatur, GA 30033-5645
Phone: (678) 284-4040
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 number1699328369
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationGeorgia Urology, PA
Authorized official Dan Fellner — Ceo · (678) 205-8360
Other names Georgia Urology Decatur Asc
NPI enumeratedJuly 22, 2019
Last updated in NPPESMay 5, 2026
Certification dateMay 5, 2026
Mailing address1930 Brannan Rd, McDonough, GA 30253-4310

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