Metro Atlanta Urology and Pelvic Health Center, LLC

Primary specialty

Urogynecology and Reconstructive Pelvic Surgery (Urology) PhysicianTaxonomy code 2088F0040X

Legal business name

METRO ATLANTA UROLOGY AND PELVIC HEALTH CENTER, LLC

Practice address

1301 Shiloh Rd NW Ste 660
Kennesaw, GA 30144-7158

Phone

(404) 913-2891

Fax

(770) 648-2908

NPI assigned

Jan 12, 2022

Last updated

Jan 12, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shenelle Wilson, MDNPI 1215283775

Title

Owner

Phone

(404) 913-2891

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shenelle Wilson

  • Urology Physician
  • Kingsport, TN
  • NPI 1215283775

  GA

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1641945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641945600000",
    "number": "1174274013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1179 STATE ST NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303185331",
            "telephone_number": "301-367-2187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 SHILOH RD NW STE 660",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447158",
            "telephone_number": "404-913-2891",
            "fax_number": "770-648-2908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO ATLANTA UROLOGY AND PELVIC HEALTH CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-12",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "SHENELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-913-2891",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2088F0040X",
            "taxonomy_group": "",
            "desc": "Urology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonya Booker Mentz, LPC
• Lauren Rausch Mercure, PT, DPT
• Alexandra Morgan Merrick, MS CCC-SLP
• Julie Ann Merrill, OTR
• Metpp LLC
• Metro Surgical Assistants
• Metropolitan Health Care Plus Inc
• Michael a. Levinson, DC, PC
• Karen E Michael, MA, NCC
• Hannah Michelena, RN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; 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.

Verify at the official NPI Registry.