Individual provider Active NPI

Jason Lomboy, M.D.

  • Urology Physician
  • Marietta, GA
National Provider Identifier
1265843312
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
82505 Issued in GA
Practice address
1371 Church Street Ext NE
Marietta, GA 30060-7913
Phone
(678) 344-8900
Fax
(678) 666-5201
NPI assigned
May 12, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 82505 GA Primary

Addresses

Primary practice location

1371 Church Street Ext NE
Marietta, GA 30060-7913

Mailing address

1551 Janmar Rd
Snellville, GA 30078-5606
Phone (678) 344-8900

Other practice location 1

2205 Riverstone Blvd Ste 101
Canton, GA 30114-5250
Phone (678) 344-8900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190531000668 GA Practitioner - Urology 7113143942 Reassigns benefits to 2 organizations
I20260203003289 SC Practitioner - Urology 7113143942 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Brody School of Medicine at East Carolina University, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians
Advanced Urology of Ga-East, PCGroup PAC ID 1658725668, 17 clinicians
Anmed HealthGroup PAC ID 1951215243, 348 clinicians

Practice addresses (Care Compare)

100 Mountain View Dr
Cumming, GA 30040-2434
Phone (770) 889-2163

1561 Janmar Rd
Snellville, GA 30078-5639
Phone (678) 344-8900

2000 E Greenville St
Suite 5140
Anderson, SC 29621-1580
Phone (864) 716-6100

800 N Fant St
Anderson, SC 29621-5708
Phone (864) 512-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.66 of 100Reported as group
Quality
69.85
Promoting interoperability
100
Improvement activities
40
Cost
75.7

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
82505GAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anmed Health Urology CurrentSince Dec 15, 2025 Accepting new patients
Advanced Urology Institute of Georgia, PC Urology CurrentSince Jun 13, 2019 Accepting new patients
Advanced Urology of Ga-East, PC Urology CurrentSince Jan 1, 2025 Accepting new patients
Advanced Urology Institute of Georgia Urology CurrentSince Jun 13, 2019 Accepting new patients
Anmed Health CurrentSince Dec 15, 2025 Accepting new patients
Anmed Health CurrentSince Dec 15, 2025 Accepting new patients
Anmed Health Past Accepting new patients

Locations (25 of 28)

2695 Old Winder Hwy
Ste 150
Braselton, GA 30517
Phone (678) 400-0654

2205 Riverstone Blvd
Ste 101
Canton, GA 30114
Phone (770) 590-1078

450 Northside Cherokee Blvd
Canton, GA 30115
Phone (770) 224-1000

1366 Wellbrook Cir NE
#B
Conyers, GA 30012
Phone (770) 922-9622

3075 Ronald Reagan Blvd
#501
Cumming, GA 30041
Phone (678) 736-6000

2713 Charles Hardy Pkwy
Ste 122
Dallas, GA 30157
Phone (770) 505-3162

2711 Irvin Way
Ste 102
Decatur, GA 30030

1266 Highway 515 S
Jasper, GA 30143
Phone (706) 301-5350

49 Gordon Rd
Ste 103
Jasper, GA 30143
Phone (678) 593-1295

10730 Medlock Bridge Rd
Ste 120
Johns Creek, GA 30097

10730 Medlock Bridge Rd
Ste 110
Johns Creek, GA 30097
Phone (860) 886-1956

501 Crownpointe Way
Lawrenceville, GA 30046
Phone (404) 341-6583

1371 Church Street Ext NE
#200
Marietta, GA 30060
Phone (678) 481-0579

1371 Church Street Ext NE
Marietta, GA 30060
Phone (404) 785-8950

1371 Church Street Ext NE
#100
Marietta, GA 30060

11660 Alpharetta Hwy
Ste 730
Roswell, GA 30076
Phone 6783448900156

11660 Alpharetta Hwy
Ste 700
Roswell, GA 30076
Phone (678) 839-9973

11660 Alpharetta Hwy
Ste 720
Roswell, GA 30076
Phone 6783448900156

1450 S Johnson Ferry Rd
Sandy Springs, GA 30319
Phone (404) 800-4280

1557 Janmar Rd
Snellville, GA 30078
Phone (404) 348-4421

1800 Tree Ln
Ste 280
Snellville, GA 30078
Phone (404) 919-4876

1561 Janmar Rd
Snellville, GA 30078
Phone 6783448900102

1700 Medical Way
Snellville, GA 30078
Phone (770) 978-4229

1551 Janmar Rd
Snellville, GA 30078

2000 E Greenville St
Ste 5140
Anderson, SC 29621
Phone (864) 716-6100

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1399852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1265843312",
    "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": "678-691-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1371 CHURCH STREET EXT NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300607913",
            "telephone_number": "678-344-8900",
            "fax_number": "678-666-5201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2205 Riverstone Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "GA",
            "postal_code": "301145250",
            "country_code": "US",
            "telephone_number": "678-344-8900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOMBOY",
        "first_name": "JASON",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-12",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "GA",
            "license": "82505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.