Decatur Urology Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

DECATUR UROLOGY SURGERY CENTER

Practice address

2711 Irvin Way Ste 101
Decatur, GA 30030

Phone

(678) 344-8900

Fax

(678) 666-5201

NPI assigned

Jun 19, 2017

Organization subpart

No

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

Authorized official

Name

Beemal Shah

Title

Ceo

Phone

(706) 951-8657

Specialties & licenses 1

Addresses

Listed as

Decatur Urology Surgery CenterCCN 11C0001481

Medicare certification status

ActiveFrom the Provider of Services file

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Advanced Urology Institute of Georgia

  • Urology Physician
  • Snellville, GA
  • NPI 1073896510

  Member Of

  NPD member

Practitioners 2

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

• Jitesh Vinod Patel, M.D.

  • Urology Physician
  • Snellville, GA
  • NPI 1265640486
  NPD (past)
• Bhavik Shah, M.D.

  • Urology Physician
  • Stockbridge, GA
  • NPI 1265774863
  NPD (past)

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

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736208000000",
    "number": "1194255372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 JANMAR RD",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300785606",
            "telephone_number": "678-344-8900",
            "fax_number": "678-666-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 IRVIN WAY STE 101",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "30030",
            "telephone_number": "678-344-8900",
            "fax_number": "678-666-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECATUR UROLOGY SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-19",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "BEEMAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "706-951-8657"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Decatur Physical Therapy & Sports Medicine
• Decatur Psychology, LLC
• Decatur Recovery Services, Inc.
• Decatur Rehab Center, LLC
• Decatur Spine & Joint Center, LLC
• Decatur Weightloss & Pain Center LLC
• Decatur Wellness Services, Inc.
• Catherine Gray Deering, PH.D.
• Margaret Defillippo
• Frank Defilppo

• All providers in Decatur, GA
• Ambulatory Surgical Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.