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

Georgia Urology PA

Organization Pediatric Urology Physician · NPI 1881932010

Georgia Urology PA is a Pediatric Urology Physician in Fayetteville, Georgia. Registered with an NPI since 2013.

In the registry since
2013
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1275 Highway 54 W Ste 205
Fayetteville, GA 30214-4549
Phone: (770) 716-9656
Fax: (770) 716-1609
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Urology Physician (primary) Taxonomy 2088P0231X

Record details

NPI number1881932010
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationGeorgia Urology PA
Authorized official Dan Fellner — Ceo · (678) 205-8360
NPI enumeratedJanuary 23, 2013
Last updated in NPPESMay 6, 2026
Certification dateMay 6, 2026
Mailing address1930 Brannan Rd, McDonough, GA 30253-4310