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

Georgia Urology Piedmont, LLC

Organization Urology Physician · NPI 1861026619

Georgia Urology Piedmont, LLC is an Urology Physician in Fayetteville, Georgia. Works from 2 locations. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1336 Highway 54 W Bldg 200
Fayetteville, GA 30214-4574
Phone: (770) 460-9777
Show map & directions

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

Additional practice locations (1)

  • 1301 Sigman Rd Ne Ste 250a, Conyers, GA 30012-3812 — (770) 760-9900

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X

Record details

NPI number1861026619
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationGeorgia Urology PA
Authorized official Mark Haber — Managing Partner · (678) 284-4049
NPI enumeratedMarch 2, 2020
Last updated in NPPESApril 20, 2020
Certification dateApril 20, 2020
Mailing address1930 Brannan Rd, McDonough, GA 30253-4310

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