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

Prabhakar Mithal

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1497172951

Prabhakar Mithal is an Urology in Fayetteville, Georgia. Graduated from University of Massachusetts Medical School in 2014, 12 years ago. Practices with Georgia Urology, PA, a 100-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
12
Trained at
University of Massachusetts Medical School
Licensed in
GA
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

1336 Highway 54 W Bldg 200
Fayetteville, GA 30214-4574
Phone: (770) 460-9777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 140 Charlois Blvd, Winston Salem, NC 27103-1522 — (336) 716-4131
  • 601 Elmwood Ave Box Surg, Rochester, NY 14642-0001 — (585) 275-2723

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 89259 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1497172951
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 23, 2014
Last updated in NPPESJune 15, 2021
Certification dateApril 29, 2021
Mailing address1930 Brannan Rd, McDonough, GA 30253-4310

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUROLOGY
Medical schoolUNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Graduated 2014 (12 years in practice)
Group practice Georgia Urology, Pa — 100 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Fayetteville