ADVANCED UROLOGY INSTITUTE OF GEORGIA (NPI# 1073896510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073896510 |
| Entity Type | Organization |
| Organization Name | ADVANCED UROLOGY INSTITUTE OF GEORGIA |
| Practice Address |
1557 Janmar Rd Snellville GA 30078-5686 |
| Mailing Address |
1555 Janmar Rd Snellville GA 30078-5606 |
| Practice Telephone | 6783448900 |
| Practice Fax Number | 6786665201 |
| Mailing Telephone | 6783448900 |
| Mailing Fax Number | 6786665201 |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2019-01-09 |
| Authorized Official Name | DR. JITESH VINOD PATEL (PRESIDENT AND CEO) |
| Authorized Official Telephone | 6783448900 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 65869 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295382778 | Advanced Urology Institute of Georgia | Clinic/Center | 1371 Church Street Ext Ne Ste 200, Marietta, GA 30060-7913 | 2019-08-20 |
| 1982182655 | Advanced Urology Institute of Georgia | Urology | 1460 S Johnson Ferry Rd, Atlanta, GA 30319-4301 | 2018-08-03 |
| 1457851255 | Advanced Urology Institute of Georgia | Urology | 501 Crown Point Way, Lawrenceville, GA 30046 | 2018-02-19 |
| 1386128494 | Advanced Urology Institute of Georgia | Urology | 11660 Alpharetta Hwy, Bldg 700 Ste 700, Roswell, GA 30076-4956 | 2018-09-25 |
| 1598262016 | Advanced Urology Institute of Georgia | Non-Pharmacy Dispensing Site | 1555 Janmar Rd, Snellville, GA 30078 | 2018-04-11 |
| 1134642200 | Advanced Urology Institute of Georgia | Urology | 2711 Irvin Way, Decatur, GA 30030-5405 | 2017-07-20 |
| 1598218570 | Advanced Urology Institute of Georgia | Urology | 10730 Medlock Bridge Rd, Suite 110, Johns Creek, GA 30097-1705 | 2016-07-26 |
| Street Address |
1557 JANMAR RD |
| City | SNELLVILLE |
| State | GA |
| Zip Code | 30078-5686 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477558021 | Amy Duffy Kingry | Nurse Anesthetist, Certified Registered | 1557 Janmar Rd, Snellville, GA 30078-5686 | 2005-06-19 |
| 1184187395 | Sawyer Reed | Physician Assistant | 1557 Janmar Rd, Snellville, GA 30078-5686 | 2019-04-13 |
| 1487196705 | John Ohanu | Nurse Anesthetist, Certified Registered | 1557 Janmar Rd, Snellville, GA 30078 | 2016-11-17 |
| 1831648443 | Morgann Harney | Physician Assistant | 1557 Janmar Rd, Snellville, GA 30078-5686 | 2016-09-23 |
| 1609322197 | Jessica Michelle Sheppard | Physician Assistant | 1557 Janmar Rd, Snellville, GA 30078-5686 | 2016-08-25 |
| 1457700403 | Hayden Sutherland Jagor | Physician Assistant | 1557 Janmar Rd, Snellville, GA 30078-5686 | 2016-06-10 |
| 1518336023 | Amanda Lynn Swickard | Physician Assistant | 1557 Janmar Rd, Snellville, GA 30078-5686 | 2015-09-15 |
| 1003291378 | Jason R Casey | Nurse Practitioner | 1557 Janmar Rd, Snellville, GA 30078-5686 | 2015-07-28 |
| 1568842201 | Epris Pittman Cooper | Nurse Anesthetist, Certified Registered | 1557 Janmar Rd, Snellville, GA 30078-5686 | 2015-06-08 |
| 1497168363 | Allison Meloni | Physician Assistant | 1557 Janmar Rd, Snellville, GA 30078-5686 | 2014-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619594561 | Steven Nguyen | Optometrist | 1905 Scenic Hwy S #1130, Snellville, GA 30078 | 2020-06-26 |
| 1891320776 | Youstina Harkas | Optometrist | 1679 Scenic Hwy S 203, Snellville, GA 30078 | 2020-03-11 |
| 1578101127 | Jwwt Neuoromonitoring, LLC | Psychiatry & Neurology | 1350 Scenic Highway, Suite 266, Snelville, GA 30078 | 2019-12-13 |
| 1679119903 | Lashon Poole Wells | Social Worker | 1350 Scenic Highway Ste 266, 1350 Scenic Highway Ste 266, Snellville, GA 30078 | 2019-11-21 |
| 1427601426 | Aemad Heavenly Joy Senior Homecare & Developmental Disabilities LLC | Registered Nurse | 1350 Scenic Highway Suite #266, Sneville, GA 30078 | 2019-07-18 |
| 1063975548 | Joanne Mcdougal Patterson | Nurse Practitioner | 1350 Scenic Hwy N Ste 226, Snellville, GA 30078 | 2019-04-10 |
| 1689144263 | Israel Branford | Physical Therapist | 1575 Scenic Hwy Ste 100, Snellville, GA 30078 | 2018-11-27 |
| 1902382997 | Brittany Dupree | Dermatology | 2383 Pate Street North, Snellville, GA 30078 | 2018-07-13 |
| 1134610926 | Reid Weston Popple | Dentist | 2992 Stone Mountain Hwy, A100, Snellville, GA 30078 | 2018-05-29 |
| 1326550492 | Optimal Healthcare Services LLC | Clinic/Center | 2121 Fountain Dr Ste F, Snellville, GA 30078 | 2017-10-30 |
| Find all providers in zip 30078 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265640486 | Jitesh Vinod Patel | Urology | 1555 Janmar Rd, Snellville, GA 30078 | 2007-05-20 |
| 1487758017 | Ronald E Anglade | Urology | 1700 Tree Ln Ste 420, Snellville, GA 30078-6745 | 2006-09-12 |
| 1295148732 | Atlanta Center for Urinary Control, LLC | Urology | 1555 Janmar Rd, Snellville, GA 30078-5606 | 2014-06-03 |
| 1114356599 | John Stites Iv | Urology | 1700 Tree Ln Ste 420, Snellville, GA 30078 | 2013-11-05 |
| 1376982124 | Michael Nordsiek | Urology | 1557 Janmar Rd, Snellville, GA 30078 | 2013-06-14 |
| 1205273091 | Chirag Niranjan Dave | Urology | 1557 Janmar Rd, Snellville, GA 30078 | 2013-06-03 |
| 1417290974 | Moshe Shapiro | Urology | 1557 Janmar Rd, Snellville, GA 30078-5686 | 2013-04-03 |
| 1265774863 | Bhavik Shah | Urology | 1557 Janmar Rd, Snellville, GA 30078-5686 | 2013-03-21 |
| 1093006090 | Naveen Kumar Arora | Urology | 1557 Janmar Rd, Snellville, GA 30078 | 2011-04-25 |
| 1063723401 | Neal Patel | Urology | 1557 Janmar Rd, Snellville, GA 30078-5686 | 2010-06-30 |
| Find all providers in SNELLVILLE | ||||
| City | SNELLVILLE |
| Zip Code | 30078 |
Please comment or provide details below to improve the information on ADVANCED UROLOGY INSTITUTE OF GEORGIA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.