Organization Active NPI

Athens Urological Associates, LLC

  • Urology Physician
  • Athens, GA
National Provider Identifier
1306895339
Registry record updated Feb 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
048133 Issued in GA
Legal business name
ATHENS UROLOGICAL ASSOCIATES, LLC
Practice address
957 Baxter St
Athens, GA 30606-3754
Phone
(706) 549-4999
Fax
(706) 549-0410
NPI assigned
May 8, 2006
Last updated
Feb 24, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2010

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

Authorized official

Name
Dr. Mark A. Adams, M.D.NPI 1568642767
Title
Urologist
Phone
(706) 549-4999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X 048133 GA Primary

Addresses

Primary practice location

957 Baxter St
Athens, GA 30606-3754

Mailing address

957 Baxter St
Athens, GA 30606-3754
Phone (706) 549-4999

Other identifiers 1

IdentifierTypeStateIssuer
00856193AMedicaidGA

National Provider Directory

National Provider Directory

Locations

740 Prince Ave
Ste 12
Athens, GA 30606
Phone (706) 549-4999

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266969600000",
    "number": "1306895339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "957 BAXTER ST",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306063754",
            "telephone_number": "706-549-4999",
            "fax_number": "706-549-0410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "957 BAXTER ST",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306063754",
            "telephone_number": "706-549-4999",
            "fax_number": "706-549-0410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHENS UROLOGICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2010-02-24",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "UROLOGIST",
        "authorized_official_telephone_number": "706-549-4999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "GA",
            "license": "048133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00856193A",
            "state": "GA"
        }
    ],
    "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 Feb 24, 2010; 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.