Georgia Urology PA

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

GEORGIA UROLOGY PA

Practice address

4181 Hospital Dr NE
Suite 303
Covington, GA 30014-2541

Phone

(770) 787-7311

Fax

(770) 787-9349

NPI assigned

Apr 15, 2007

Organization subpart

Yes

Parent organization

GEORGIA UROLOGY PAAs reported in NPPES

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

Authorized official

Name

Dan Fellner

Title

Ceo

Phone

(678) 205-8360

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Georgia Urology

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

{
    "created_epoch": "1176595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778025600000",
    "number": "1154546349",
    "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": "4181 HOSPITAL DR NE",
            "address_2": "SUITE 303",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300142541",
            "telephone_number": "770-787-7311",
            "fax_number": "770-787-9349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA UROLOGY PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GEORGIA UROLOGY PA",
        "enumeration_date": "2007-04-15",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A",
        "authorized_official_last_name": "FELLNER",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-205-8360"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "11D1029660",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Georgia Ophthalmologists LLC
• Georgia Ophthalmologists LLC
• Georgia Orthopedics and Sports Medicine,LLC
• Georgia Rehab Services, Inc.
• Georgia Rising Star Services
• Johnelle Gooden Gethers, RDN
• Mark Joseph Giangregorio, NP
• Carter Elisha Gibson, M.D
• Eunice A Gibson, CERTIFICATION
• Felicia Gibson

• Urology Physician in Covington, GA
• Providers in Covington, GA by specialty
• Urology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.