Active NPI
Athens Urological Associates, LLC
- Urology Physician
- Athens, GA
National Provider Identifier
1306895339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 048133
- 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, 2010
- 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
- Dr. Mark A. Adams, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00856193A | Medicaid | GA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Urology Physician
- Athens, GA
- NPI 1568642767
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
- Athens Strength and Physical Therapy, LLC
- Athens Surgery Center LLC
- Athens Surgical Group PC
- Athens Therapy Co-Op
- Athens Thoracic & Vascular Surgery, PC
- Athens Vein Clinic, PC
- Athens Wellness Diagnostics (American Wellness Diagnostics)
- Athens Women's Clinic, LLP
- Athens-Clarke Emergency Specialists
- Athensborn Birth Services, LLC
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.