GEORGIA UROLOGY PA (NPI# 1770821001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770821001 |
| Entity Type | Organization |
| Organization Name | GEORGIA UROLOGY PA |
| Practice Address |
35 Collier Rd Nw Suite M-245 Atlanta GA 30309-1613 |
| Mailing Address |
1930 Brannan Rd Mcdonough GA 30253-4310 |
| Practice Telephone | 6782058211 |
| Practice Fax Number | 4045541794 |
| Mailing Telephone | 6782844040 |
| Mailing Fax Number | 6782844076 |
| Enumeration Date | 2013-01-21 |
| Last Update Date | 2015-01-26 |
| Authorized Official Name | DR. MARK A HABER (MANAGING PARTNER) |
| Authorized Official Telephone | 6782844049 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | GEORGIA UROLOGY PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265995724 | Georgia Urology Pa | Non-Pharmacy Dispensing Site | 5900 Hillandale Dr Ste 200, Lithonia, GA 30058-3858 | 2019-04-11 |
| 1447772348 | Georgia Urology Pa | Urology | 4800 Olde Towne Pkwy Ste 220, Marietta, GA 30068-4391 | 2017-07-12 |
| 1154855740 | Georgia Urology Pa | Urology | 2161 W Spring St., Suite C, Monroe, GA 30655-3196 | 2017-04-20 |
| 1720510241 | Georgia Urology Pa | Urology | 1110 W Peachtree St Nw Ste 1020, Atlanta, GA 30309-3609 | 2017-04-03 |
| 1184089989 | Georgia Urology Pa | Urology | 2151b West Spring St, Ste 210, Monroe, GA 30655-3115 | 2015-12-21 |
| 1528308988 | Georgia Urology Pa | Urology | 1357 Hembree Rd Ste 250, Roswell, GA 30076-5724 | 2013-02-21 |
| 1821261744 | Georgia Urology Pa | Urology | 200 Dawson Commons Circle, Dawsonville, GA 30534 | 2008-04-11 |
| 1508081795 | Georgia Urology Pa | Urology | 4645 Timber Ridge Dr Ste 120, Douglasville, GA 30135-7542 | 2007-04-15 |
| 1871144246 | Georgia Urology Pa | Urology | 1670 Scott Blvd Ste 204k, Decatur, GA 30033-5645 | 2019-09-26 |
| 1073028643 | Georgia Urology Pa | Urology | 4150 Deputy Bill Cantrell Memorial Road, Suite 140b, Cumming, GA 30040 | 2017-12-05 |
| Street Address |
35 COLLIER RD NW SUITE M-245 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30309-1613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548262843 | Shammamah Niazi | Internal Medicine | 35 Collier Rd Nw, Suite 775, Atlanta, GA 30309-1613 | 2005-06-01 |
| 1063025716 | Derek Bessem Ebot-akoachere | Pharmacist | 35 Collier Rd Nw, Atlanta, GA 30309-1613 | 2020-08-24 |
| 1366804270 | Mdvip Medical Group Ga LLC | Internal Medicine | 35 Collier Rd Nw, Suite M200, Atlanta, GA 30309-1613 | 2016-03-22 |
| 1184085821 | Buckhead Breast Care, LLC | Surgery | 35 Collier Rd Nw, Suite 185, Atlanta, GA 30309-1613 | 2016-03-08 |
| 1013311547 | Adanna Chijioke | Physician Assistant | 35 Collier Rd Nw, Suite 635, Atlanta, GA 30309-1613 | 2014-10-13 |
| 1184027138 | Megan Fawbush | Nurse Practitioner | 35 Collier Rd Nw, Suite 475, Atlanta, GA 30309-1613 | 2014-10-06 |
| 1043639123 | Robert V. Dimeglio, Md, LLC | Urology | 35 Collier Rd Nw, M-245, Atlanta, GA 30309-1613 | 2014-04-15 |
| 1205254687 | Brett Jordan Prylinski | Family Medicine | 35 Collier Rd Nw, Suite 500, Atlanta, GA 30309-1613 | 2014-04-02 |
| 1538500707 | Lauren Brooks Foti | Physician Assistant | 35 Collier Rd Nw, Suite 475, Atlanta, GA 30309-1613 | 2013-07-16 |
| 1164862835 | Devra Ellen Kiewit | Nurse Practitioner | 35 Collier Rd Nw, Suite 635, Atlanta, GA 30309-1613 | 2013-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396382354 | Astoria Dentistry LLC | Dentist | 2233 Peachtree Rd. Nw, Suite 300, Atlanta, GA 30309 | 2019-12-09 |
| 1487133740 | S2 Telehealth Technologies, LLC | Psychiatry & Neurology | 915 W Peachtree St Nw Apt 522, Atlanta, GA 30309 | 2018-08-08 |
| 1841782620 | Janie Mardis | Social Worker | 3 Park Ln Ne, Apt H, Atlanta, GA 30309 | 2018-06-06 |
| 1083102842 | Veronica L Bentley | Specialist/Technologist, Other | 1170 Peachtree Street Suite 1200, Atlanta, GA 30309 | 2018-04-27 |
| 1427566363 | Net Medical Corp | Chiropractor | 1100 Spring St Sw, Ste#700, Atlanta, GA 30309 | 2018-01-12 |
| 1871000463 | Mary James (jamie) Johnson | Counselor | 1100 Spring Street, Suite 380, Atlanta, GA 30309 | 2018-01-04 |
| 1306377817 | Aliyah Lamis Scott | Social Worker | 1745 Peachtree Road Ne, Kaiser Permanente Brookwood Medical Office, Atlanta, GA 30309 | 2017-03-26 |
| 1013450774 | Caroline Hallen | Nurse Practitioner | 105 Collier Rd Nw Suite 3040, Atlanta, GA 30309 | 2016-11-29 |
| 1528501723 | Ant-aging Queen | Nutritionist | 1801 Atlanta Medical Clinic, Suite 250, Atlanta, GA 30309 | 2016-11-21 |
| 1790231439 | Nurse 2 Health Home Care LLC | Home Health | 1075 Peachtree Street Ne, Atlanta, GA 30309 | 2016-09-01 |
| Find all providers in zip 30309 | ||||
| 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 |
|---|---|---|---|---|
| 1982182655 | Advanced Urology Institute of Georgia | Urology | 1460 S Johnson Ferry Rd, Atlanta, GA 30319-4301 | 2018-08-03 |
| 1720510241 | Georgia Urology Pa | Urology | 1110 W Peachtree St Nw Ste 1020, Atlanta, GA 30309-3609 | 2017-04-03 |
| 1033552799 | Andrew Pridjian | Urology | 5673 Peachtree Dunwoody Rd Ste 910, Atlanta, GA 30342-1776 | 2013-04-12 |
| 1518256890 | Aaron David Weiss | Urology | Emory Univ Hosp Dept of Urology, Ste B1400 1365 Clifton Rd Ne, Atlanta, GA 30322-0001 | 2011-04-07 |
| 1407172877 | Dhruti Mukund Patel | Urology | 1450 S Johnson Ferry Rd, Atlanta, GA 30319 | 2010-04-10 |
| 1598990533 | Tariq S Hakky | Urology | 371 E Paces Ferry Road, Suite 550, Atlanta, GA 30305 | 2009-05-20 |
| 1932351277 | Milton Joseph Deitch | Urology | 5770 Cameron Hall Pl Nw, Atlanta, GA 30328-4896 | 2008-10-17 |
| 1588812440 | Jaime Alan Wan Cheung Wong | Urology | 1800 Howell Mill Rd Nw Ste 500, Atlanta, GA 30318-2594 | 2008-09-04 |
| 1619161007 | Nathan F Pursifull | Urology | 275 Collier Rd Nw Ste 400, Atlanta, GA 30309-1711 | 2007-08-29 |
| 1437275385 | Christopher Paul Filson | Urology | 1365 Clifton Rd Ne Ste B1400, Atlanta, GA 30322-5330 | 2007-03-22 |
| Find all providers in ATLANTA | ||||
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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.