Active NPI
North Atlanta Urology Assoc PC
- Urology Physician
- Lawrenceville, GA
National Provider Identifier
1184633778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- NORTH ATLANTA UROLOGY ASSOC PC
- Practice address
- 631 Professional Dr Ste 490
Lawrenceville, GA 30046 - Phone
- (770) 995-0424
- Fax
- (770) 513-7334
- NPI assigned
- Aug 5, 2006
- 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
- Ms. Dorothy E Wimmerstedt
- Title
- Office Manager
- Phone
- (770) 995-0424
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | GA | Primary |
Addresses
Primary practice location
631 Professional Dr Ste 490
Lawrenceville, GA 30046
Mailing address
631 Professional Dr Ste 490
Lawrenceville, GA 30046-3370
Phone (770) 995-0424
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
Locations
631 Professional Dr
Ste 490
Lawrenceville, GA 30046
Phone (770) 963-8444
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1533168000000",
"number": "1184633778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "631 PROFESSIONAL DR STE 490",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300463370",
"telephone_number": "770-995-0424",
"fax_number": "770-513-7334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "631 PROFESSIONAL DR STE 490",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "30046",
"telephone_number": "770-995-0424",
"fax_number": "770-513-7334"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH ATLANTA UROLOGY ASSOC PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-05",
"last_updated": "2018-08-02",
"status": "A",
"authorized_official_last_name": "WIMMERSTEDT",
"authorized_official_first_name": "DOROTHY",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "770-995-0424",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawrenceville, GA
- North Atlanta Endocrinology and Diabetes, PC
- North Atlanta Medical Clinic, L.L.C
- North Atlanta Neurological Services, LLC
- North Atlanta Oncology Services LLC
- North Atlanta Podiatry Group P.C. (Foot and Ankle Centers of Northeast Georgia)
- North Atlanta Urology Assoc PC
- North Georgia Dermatology, P.C.
- North Georgia Digestive Disease Consultants, LLC
- North Georgia Neurological Clinic PC
- North Georgia Rheumatology Group, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.