GEORGIA UROLOGY, PA


Address: 1670 Scott Blvd Ste 204k, Decatur, GA 30033-5645
Phone: 6782844040

GEORGIA UROLOGY, PA (NPI# 1699328369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699328369
Entity Type Organization
Organization Name GEORGIA UROLOGY, PA
Practice Address 1670 Scott Blvd Ste 204k
Decatur
GA 30033-5645
Mailing Address 1930 Brannan Rd
Mcdonough
GA 30253-4310
Practice Telephone 6782844040
Mailing Telephone 6782844686
Mailing Fax Number 6782844078
Enumeration Date 2019-07-22
Last Update Date 2019-07-22
Authorized Official Name MARK A HABER (MANAGING PARTNER)
Authorized Official Telephone 6782844040
Is Organization Subpart Y
Parent Organization Name GEORGIA UROLOGY, PA

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Georgia Urology Decatur ASC Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1093369795 Georgia Urology, Pa Urology 470 Northside Cherokee Blvd Ste 210, Canton, GA 30115-8029 2019-07-31
1952771230 Georgia Urology, Pa Clinic/Center 3400 Old Milton Pkwy Ste C535, Alpharetta, GA 30005-4456 2015-09-30
1629222815 Georgia Urology, Pa Clinic/Center 1301 Sigman Rd Ne Ste 250b, Conyers, GA 30012-3812 2008-11-14
1003428590 Georgia Urology, Pa Urology 4150 Deputy Bill Cantrell Memorial Rd., Suite 140a, Cumming, GA 30040 2020-08-18
1245875236 Georgia Urology, Pa Urology 631 Professional Dr Ste 490, Lawrenceville, GA 30046-3370 2019-11-13
1083268783 Georgia Urology, Pa Urology 120 Trinity Pl, Athens, GA 30607-2100 2019-07-31
1639499627 Georgia Urology, Pa Clinic/Center 790 Church St Ne, Suite 430, Marietta, GA 30060-7282 2010-06-02

Office Location

Street Address 1670 SCOTT BLVD STE 204K
City DECATUR
State GA
Zip Code 30033-5645

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871144246 Georgia Urology Pa Urology 1670 Scott Blvd Ste 204k, Decatur, GA 30033-5645 2019-09-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922613785 Healing Minds, Helping Hearts, LLC Social Worker 2532 N Decatur Rd, Apt 1304, Decatur, GA 30033 2020-09-09
1700412517 Delana Finney Orthotist Vamc - Atlanta, 1670 Clairmont Rd, Decatur, GA 30033 2020-03-13
1194389353 Katherine Serafen Physician Assistant 2701 N Decatur Road, Ground Floor Suite 520, Decatur, GA 30033 2019-04-23
1194290973 Suzanne Johnson Psychologist Atlanta Va Health Care System, 1670 Clairmont Rd, Decatur, GA 30033 2018-10-09
1245705334 Mcleod Counseling Services, LLC Clinic/Center 2801 N. Decatur Rd, Suite 185, Decatur, GA 30033 2018-10-04
1225514797 Erkin Mirkhatovich Turganov Pharmacist 2951 Cedar Brook Dr, Decatur, GA 30033 2018-07-17
1356834972 Sharlencia Lord Nurse Practitioner 2738 N Decatur Rd # 292-3173, Decatur, GA 30033 2018-06-08
1194213140 Zacarias Yanis Jr. Clinical Neuropsychologist 1276 Mcconnell Drive Ste C., Decatur, GA 30033 2018-04-25
1780181370 Ryan Patton Orthopaedic Surgery 2723 Hollywood Dr, Decatur, GA 30033 2018-04-10
1437669751 Sholanda D Hooper Nurse Practitioner 1601 Clairmont Rd, Decatur, GA 30033 2017-10-02
Find all providers in zip 30033

Taxonomy Information

Taxonomy Code 261QA1903X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Ambulatory Surgical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801413174 Pa-c Surgical Assist, LLC Clinic/Center 520 W Ponce Leon Ave #1706, Decatur, GA 30030 2020-07-02
1568984375 American Access Care of Atlanta Asc LLC Clinic/Center 250 E Ponce Deleon Avenue, Suite 100, Decatur, GA 30030-3406 2017-07-13
1194255372 Decatur Urology Surgery Center Clinic/Center 2711 Irvin Way Ste 101, Decatur, GA 30030 2017-06-19
1962513788 Surgery Center of Decatur Lp Clinic/Center 1122 14th Avenue Se, Decatur, AL 35601-3361 2006-08-31
1891716049 Georgia Urology Ambulatory Surgical Center LLC Clinic/Center 2685 Milscott Dr, Decatur, GA 30033-5906 2006-07-22
1134185564 Decatur Digestive Disease Center LLC Clinic/Center 2 Memorial Dr Suite 102, Physician Plaza West, Decatur, IL 62526-3950 2006-04-25
1730601865 Snapfinger Vascular Access Center Asc LLC Clinic/Center 5246 Snapfinger Park Dr, Decatur, GA 30035-4044 2017-07-11
1043660442 Georgia Interventional Pain - D, LLC Clinic/Center 484 Irvin Ct, Suite 130, Decatur, GA 30030-5406 2016-06-16
1568705846 Dekalb Center for Foot and Ankle Surgery, LLC Clinic/Center 215 Clairemont Ave, Decatur, GA 30030-2508 2013-04-04
1922262278 Eps Surgical Center, LLC Clinic/Center 1457 Scott Blvd, Decatur, GA 30030-1425 2008-07-16
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Competitor

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City DECATUR
Zip Code 30033

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Dataset Information

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.

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