GEORGIA UROLOGY PA (NPI# 1851826036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851826036 |
| Entity Type | Organization |
| Organization Name | GEORGIA UROLOGY PA |
| Practice Address |
675 White Sulphur Rd Suite 180 Gainesville GA 30501-8921 |
| Mailing Address |
1930 Brannan Rd Mcdonough GA 30253-4310 |
| Practice Telephone | 6782844040 |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2017-04-26 |
| Authorized Official Name | DR. MARK 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 | 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 |
675 WHITE SULPHUR RD SUITE 180 |
| City | GAINESVILLE |
| State | GA |
| Zip Code | 30501-8921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730180936 | John Francis Chiulli | Internal Medicine | 675 White Sulphur Rd, Suite 175, Gainesville, GA 30501-8921 | 2005-08-10 |
| 1992210694 | Margaret Anne Dini | Physical Therapist | 675 White Sulphur Rd, Gainesville, GA 30501-8921 | 2017-12-05 |
| 1285905653 | Pulmonary Associates of Gainesville, P.C. | Internal Medicine | 675 White Sulphur Rd, Suite 175, Gainesville, GA 30501-8921 | 2012-01-18 |
| 1700185048 | Rocky Mountain Holdings LLC | Ambulance | 675 White Sulphur Rd, Gainesville, GA 30501 | 2011-03-25 |
| 1902037872 | James R. Burns Jr Md PC | Clinic/Center | 675 White Sulphur Rd, Suite 170, Gainesville, GA 30501-8921 | 2009-07-27 |
| 1700040060 | Allyn C Johnson Jr Mdpc | Internal Medicine | 675 White Sulphur Rd, Suite #280, Gainesville, GA 30501-8921 | 2008-07-16 |
| 1790849057 | James Roy Burns Jr. | Family Medicine | 675 White Sulphur Rd, Suite 170, Gainesville, GA 30501 | 2006-12-21 |
| 1790721942 | Northeast Georgia Medical Center, Inc. | Ambulance | 675 White Sulphur Rd, Suite 285, Gainesville, GA 30501-8921 | 2006-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437782851 | Madison Raye Huth | Physician Assistant | 743 Spring Street Se, Gainesville, GA 30501 | 2020-02-13 |
| 1205487659 | Grace M Walker Brown | Nurse Practitioner | 592 Medical Park Dr., Suite A, Gainesville, GA 30501 | 2019-09-26 |
| 1174086987 | Nayab Ahmed | Student in an Organized Health Care Education/Training Program | 743 Spring Street, Suite 710, Gainesville, GA 30501 | 2019-04-09 |
| 1154881118 | Ryan D Berry | Student in an Organized Health Care Education/Training Program | 734 Spring St Se Ste 710, Gainesville, GA 30501 | 2019-03-24 |
| 1609336304 | Harper E Niver | Student in an Organized Health Care Education/Training Program | 743 Spring St., Suite 710, Gainesville, GA 30501 | 2019-03-20 |
| 1508336173 | Bradee Burrell Aderholt | Nurse Practitioner | 663 Lanier Park Drive, Gainesville, GA 30501 | 2018-11-27 |
| 1578068359 | Soammy Liz Matias | Chiropractor | 961 Green Street, Gainesville, GA 30501 | 2018-03-26 |
| 1811496896 | Matthew Brown | Speech-Language Pathologist | 500 Spring St. Se Suite 101, Gainesville, GA 30501 | 2018-02-06 |
| 1346769825 | Dr. Skeete & Associates of North Georgia, P.C. | Optometrist | 150 Pearl Nix Parkway, Suite D3a, Gainesville, GA 30501 | 2017-09-15 |
| 1932624723 | M & B Imaging, PC | Radiology | 1640 Jesse Jewell Pkwy Se Ste 2, Gainesville, GA 30501 | 2017-08-14 |
| Find all providers in zip 30501 | ||||
| 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 |
|---|---|---|---|---|
| 1386059368 | Jonathan Wirick Angelle | Urology | 1240 Jesse Jewell Pkwy Se Ste 200, Gainesville, GA 30501-3861 | 2014-06-27 |
| 1164849303 | Julia Han | Urology | 1600 Sw Archer Rd Rm N-203, Gainesville, FL 32610-0247 | 2014-03-26 |
| 1083635494 | Perinchery Narayan | Urology | 3426 Nw 43rd St, Suite B, Gainesville, FL 32606-8105 | 2006-07-21 |
| 1528084183 | Christopher Michael Cassisi | Urology | 6420 Nw 9 Blvd, Gainesville, FL 32605 | 2006-07-15 |
| 1669415667 | Sean Patrick Mclaughlin | Urology | 6420 Nw 9th Blvd, Gainesville, FL 32605-4203 | 2006-06-14 |
| 1821041476 | Brent A Sharpe | Urology | 660 Lanier Park Dr Ste A, Gainesville, GA 30501-2075 | 2006-05-17 |
| 1639128168 | Martin Neil Rifkin | Urology | 1179 Nw 64th Ter, Gainesville, FL 32605-4218 | 2006-05-10 |
| 1114926912 | Ronald Leroy Brock | Urology | 660 Lanier Park Drive, Ste A, Gainesville, GA 30501-2075 | 2005-07-14 |
| 1063419281 | William Bird Jones | Urology | 660-a Lanier Park Drive, Gainesville, GA 30501-2075 | 2005-07-01 |
| 1770104473 | Advanced Urology Institute of Georgia PC | Urology | 601 Broad St Se Ste B, Gainesville, GA 30501-3718 | 2020-05-04 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 30501 |
Please comment or provide details below to improve the information on GEORGIA UROLOGY PA.
| 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.