Organization Active NPI

The Urology Clinic, P.C.

  • Specialist
  • Athens, GA
National Provider Identifier
1174549653
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
THE UROLOGY CLINIC, P.C.
Practice address
120 Trinity PL
Athens, GA 30607-2100
Phone
(706) 543-2718
Fax
(706) 353-3709
NPI assigned
Jul 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. David C Allen
Title
President
Phone
(706) 543-2718

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

120 Trinity PL
Athens, GA 30607-2100

Mailing address

120 Trinity PL
Athens, GA 30607-2100
Phone (706) 543-2718

National Provider Directory

National Provider Directory

Locations

868 Michael Etchison Rd
Monroe, GA 30655
Phone (706) 543-2718

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174549653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 TRINITY PL",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306072100",
            "telephone_number": "706-543-2718",
            "fax_number": "706-353-3709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 TRINITY PL",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306072100",
            "telephone_number": "706-543-2718",
            "fax_number": "706-353-3709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE UROLOGY CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-543-2718",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.