THE UROLOGY CLINIC (NPI# 1265690127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265690127 |
| Entity Type | Organization |
| Organization Name | THE UROLOGY CLINIC |
| Practice Address |
120 Trinity Pl Athens GA 30607-2100 |
| Mailing Address |
868 Michael Etchison Rd Suite A Monroe GA 30655-8204 |
| Practice Telephone | 7065432718 |
| Practice Fax Number | 7063533709 |
| Mailing Telephone | 7065432718 |
| Mailing Fax Number | 7063533709 |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2008-05-28 |
| Authorized Official Name | MRS. LYNN DILLS (BUSINESS MANAGER) |
| Authorized Official Telephone | 7065432718 |
| Authorized Official Credential | CMPE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | MEDICARE | GRP814 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538335641 | The Urology Clinic | Urology | 10503 W Thunderbird Blvd Ste 317, Sun City, AZ 85351-3049 | 2008-05-08 |
| 1881754851 | The Urology Clinic | Urology | 602 N Lewis St Ste 400, New Iberia, LA 70563-2093 | 2006-12-11 |
| 1710145677 | The Urology Clinic | Specialist | 120 Trinity Pl, Athens, GA 30607-2100 | 2008-05-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | THE UROLOGY CLINIC | 501 N Graham St Ste 420, Portland, OR 97227 |
| Connecticut Business Registrations | THE UROLOGY CLINIC OF GREENWICH, P.C. | Harborview Medical Center, Suite 101, 31 River Road, Cos Cob, CT 06807 |
| Oregon Corporations, Companies and Business Names | THE UROLOGY CLINIC, P.C. | 501 N Graham St Ste 420, Portland, OR 97227 |
| Street Address |
120 TRINITY PL |
| City | ATHENS |
| State | GA |
| Zip Code | 30607-2100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205834009 | Grady Elmore | Nurse Practitioner | 120 Trinity Pl, Athens, GA 30607-2100 | 2005-07-14 |
| 1083268783 | Georgia Urology, Pa | Urology | 120 Trinity Pl, Athens, GA 30607-2100 | 2019-07-31 |
| 1043718331 | Jay Rains | Physician Assistant | 120 Trinity Pl, Athens, GA 30607-2100 | 2018-02-01 |
| 1194148767 | Amanda Stephens | Nurse Practitioner | 120 Trinity Pl, Athens, GA 30607-2100 | 2014-02-01 |
| 1710145677 | The Urology Clinic | Specialist | 120 Trinity Pl, Athens, GA 30607-2100 | 2008-05-28 |
| 1386739498 | Georgia Lithotripsy and Laser Center | Clinic/Center | 120 Trinity Pl, Athens, GA 30607-2100 | 2006-10-04 |
| 1174549653 | The Urology Clinic, P.C. | Specialist | 120 Trinity Pl, Athens, GA 30607-2100 | 2006-07-15 |
| 1013916774 | Marie B Anderson | Physician Assistant | 120 Trinity Pl, Athens, GA 30607-2100 | 2005-07-15 |
| 1669471496 | David Carter Allen | Urology | 120 Trinity Pl, Athens, GA 30607-2100 | 2005-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972850055 | Junaid Nasir | Internal Medicine | 5105 Jefferson Rd Ste B, Athens, GA 30607 | 2012-08-08 |
| 1942588918 | Gustavo Figueiredo Marcondes Westin | Internal Medicine | 3320 Old Jefferson Road, Bldg 700, Athens, GA 30607 | 2011-07-25 |
| 1124164421 | Martin John Simmons | Dentist | 3380 Old Jefferson Road, Athens, GA 30607 | 2007-01-30 |
| 1518063338 | The Center for Plastic & Reconstructive Surgery, P.C. | Clinic/Center | 3320 Old Jefferson Rd., Building 100, Athens, GA 30607 | 2006-09-16 |
| 1730173352 | Mohan N Iyer | Ophthalmology | 2705 Jefferson Rd., Athens, GA 30607 | 2005-09-09 |
| 1669473245 | Angela G Stiles | Internal Medicine | 3320 Old Jefferson Road, Bldg 200 Ste A, Athens, GA 30607 | 2005-08-09 |
| 1326691171 | Teresa Rosser | Nurse Practitioner | 3320 Old Jefferson Road, Bldg 700, Athens, GA 30607 | 2019-07-22 |
| 1124501184 | Anna Cauthen Mcfather | Physician Assistant | 3320 Old Jefferson Road, Bldg 700, Athens, GA 30607 | 2018-09-14 |
| 1013498849 | Mary Rougeau Browning | Physician Assistant | 3320 Old Jefferson Road, Bldg 700, Athens, GA 30607 | 2018-08-29 |
| 1073092334 | Katelyn Taylor Gillespie | Nurse Practitioner | 3320 Old Jefferson Road, Bldg 700, Athens, GA 30607 | 2018-08-08 |
| Find all providers in zip 30607 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881137479 | Lara Elizabeth Vaughn | Specialist | 1351 White Oak Dr, Athens, GA 30606-5211 | 2016-11-30 |
| 1841741063 | Jessica Parker | Specialist | 1060 Gaines School Rd, Suite A4c, Athens, GA 30605 | 2016-10-24 |
| 1770947186 | Joshua Cahan Felts | Specialist | 5900 County Road 3704, Athens, TX 75752-5045 | 2016-04-12 |
| 1447666987 | Paul Dobbs | Specialist | 1002 E Pryor St, Athens, AL 35611-2160 | 2014-07-04 |
| 1699101105 | Cynthia A Czarnecki | Specialist | 105 Hamilton Rd, Athens, NY 12015-4912 | 2013-09-17 |
| 1780925560 | Julie E Kinsman | Specialist | 111 Old Hopkins St, Athens, PA 18810-1005 | 2013-03-04 |
| 1982960217 | Bruce A Townsend | Specialist | 1650 W Broad St, Athens, GA 30606-0001 | 2012-04-11 |
| 1144496662 | Basic Wellness Center, LLC | Specialist | 1190 Prince Ave, Lowr B, Athens, GA 30606-2769 | 2008-05-05 |
| 1922273655 | Center for Women's Health and Fitness, LLC | Specialist | 965 Hawthorne Ave, 100a, Athens, GA 30606-2139 | 2008-04-23 |
| 1649445438 | Southeast Ohio Sports Medicine and Physical Therapy | Specialist | 215 Columbus Rd Ste 101, Athens, OH 45701-1335 | 2008-04-23 |
| Find all providers in ATHENS | ||||
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| 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.