Active NPI
Urology Surgical Partners, LLC
- Ambulatory Surgical Clinic/Center
- Atlanta, GA
National Provider Identifier
1083653554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- NEW-APPLYING FOR
- Legal business name
- UROLOGY SURGICAL PARTNERS, LLC
- Practice address
- 5673 Peachtree Dunwoody Rd NE
Suite 900
Atlanta, GA 30342-1731 - Phone
- (770) 650-1389
- Fax
- (770) 645-8103
- NPI assigned
- Jun 6, 2006
- Last updated
- Jul 1, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amy E Fouts
- Title
- Chief Compliance Officer
- Phone
- (404) 256-8431
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | NEW-APPLYING FOR | GA | Primary |
Addresses
Primary practice location
5673 Peachtree Dunwoody Rd NE
Suite 900
Atlanta, GA 30342-1731
Mailing address
555 Sun Valley Dr Ste P4
Roswell, GA 30076-5633
Phone (770) 650-1389
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061018000460 | GA | Part B Supplier - Ambulatory Surgical Center | 3779589528 | Practice locations: Atlanta, GA |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Urology Surgical Partners LLC
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D1054259 | Urology Surgical Partners LLC | Certificate of waiver | May 15, 2028 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Hematology & Oncology Physician
- Lithonia, GA
- NPI 1932115243
Member Of
Locations
5673 Peachtree Dunwoody Rd
Ste 900
Sandy Springs, GA 30342
Phone (404) 593-2851
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782864000000",
"number": "1083653554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 SUN VALLEY DR STE P4",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300765633",
"telephone_number": "770-650-1389",
"fax_number": "770-645-8103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5673 PEACHTREE DUNWOODY RD NE",
"address_2": "SUITE 900",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303421731",
"telephone_number": "770-650-1389",
"fax_number": "770-645-8103"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UROLOGY SURGICAL PARTNERS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-06",
"last_updated": "2026-07-01",
"certification_date": "2026-07-01",
"status": "A",
"authorized_official_last_name": "FOUTS",
"authorized_official_first_name": "AMY",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
"authorized_official_telephone_number": "404-256-8431"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "GA",
"license": "NEW-APPLYING FOR",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
- Nicole Marie Urman, MD
- Urological Professional Services, LLC
- Urology Clinical Services, LLC
- Urology Specialists of Atlanta North, LLC
- Urology Specialists of Atlanta, LLC
- Urpriority Healthcare LLC
- Lindsey Nicole Urquia, MD
- Ashley Nicole Morgan Urrutia, MD, MPH
- US Medgroup PA
- US Public Health Service (CDC)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.