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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Georgia Urology Decatur ASC | Doing Business As Name - Organization |
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 |
Street Address |
1670 SCOTT BLVD STE 204K |
City | DECATUR |
State | GA |
Zip Code | 30033-5645 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871144246 | Georgia Urology Pa | Urology | 1670 Scott Blvd Ste 204k, Decatur, GA 30033-5645 | 2019-09-26 |
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 Code | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
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 |
Find all providers in DECATUR |
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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.