Individual provider Active NPI

Arman Cicic, D.O.

  • Urology Physician
  • Lawrenceville, GA
National Provider Identifier
1023422888
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
102557 Issued in GA
Practice address
850 Lawrenceville Suwanee Rd Ste 101
Lawrenceville, GA 30043-5483
Phone
(770) 963-2451
Fax
(770) 962-0017
NPI assigned
Jun 19, 2014
Last updated
May 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 102557 GA Primary

Addresses

Primary practice location

850 Lawrenceville Suwanee Rd Ste 101
Lawrenceville, GA 30043-5483

Mailing address

1930 Brannan Rd
McDonough, GA 30253-4310
Phone (678) 284-4040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250211000255 GA Practitioner - Urology 2062637325 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgia Urology, PAGroup PAC ID 8921094376, 99 clinicians
Urological Professional Services, LLCGroup PAC ID 9638391717, 72 clinicians

Practice addresses (Care Compare)

850 Lawrenceville Suwanee Rd
Suite 101
Lawrenceville, GA 30043-5483
Phone (770) 963-2451

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
102557GAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urological Professional Services, LLC Urology CurrentSince May 1, 2025 Accepting new patients
Georgia Urology PA Urology CurrentSince Apr 1, 2025 Accepting new patients
Metropolitan Urology Group, SC Urology CurrentSince Jul 1, 2019 Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc Urology CurrentSince May 28, 2019 Accepting new patients
Georgia Urology, PA CurrentSince Apr 1, 2025 Accepting new patients

Locations

4450 Calibre Xing NW
Acworth, GA 30101
Phone (770) 607-1893

1223 Friendship Rd
Ste 100
Braselton, GA 30517
Phone (678) 205-8387

3790 Pleasant Hill Rd
Ste 150
Duluth, GA 30096
Phone (678) 414-0400

850 Lawrenceville Suwanee Rd
Ste 100
Lawrenceville, GA 30043
Phone (678) 987-0877

850 Lawrenceville Suwanee Rd
Ste 101
Lawrenceville, GA 30043
Phone (770) 963-2451

1930 Brannan Rd
McDonough, GA 30253
Phone (678) 284-4040

1600 Medical Way
Ste 220
Snellville, GA 30078
Phone (470) 223-4707

1700 Tree Ln
Ste 420
Snellville, GA 30078
Phone (770) 979-9427

900 Towne Lake Pkwy
Ste 200
Woodstock, GA 30189
Phone (678) 494-9201

13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400

7400 W Rawson Ave
Ste 130
Franklin, WI 53132
Phone (414) 425-8700

3811 Spring St
Ste 302
Mount Pleasant, WI 53405
Phone (262) 687-8202

201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228

2600 N Mayfair Rd
Ste 545
Wauwatosa, WI 53226
Phone (414) 476-0430

2600 N Mayfair Rd
Ste 580
Wauwatosa, WI 53226
Phone (414) 732-2715

Interoperability endpoints

  • Direct secure messaging: arman.cicic.p1@direct.gupa.nextgenshare.com
  • Direct secure messaging: armancicic@metro.medalliesdirect.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1023422888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 BRANNAN RD",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302534310",
            "telephone_number": "678-284-4040",
            "fax_number": "678-284-4076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 LAWRENCEVILLE SUWANEE RD STE 101",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300435483",
            "telephone_number": "770-963-2451",
            "fax_number": "770-962-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CICIC",
        "first_name": "ARMAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-19",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "GA",
            "license": "102557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

Verify at the official NPI Registry.