Active NPI
Georgia Urology PA
- Urology Physician
- Cartersville, GA
National Provider Identifier
1336364520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- GEORGIA UROLOGY PA
- Practice address
- 9 Medical Dr NE Ste a
Cartersville, GA 30121-8003 - Phone
- (770) 607-1893
- Fax
- (770) 607-2930
- NPI assigned
- Apr 15, 2007
- Organization subpart
- Yes
- Parent organization
- GEORGIA UROLOGY PA
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dan Fellner
- Title
- Ceo
- Phone
- (678) 205-8360
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | Primary |
Addresses
Primary practice location
9 Medical Dr NE Ste a
Cartersville, GA 30121-8003
Mailing address
1930 Brannan Rd
McDonough, GA 30253-4310
Phone (678) 284-4040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11D0943322 | Other | GA | CLIA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D0943322 | Georgia Urology PA Cartersville | Provider-performed microscopy | Mar 24, 2028 |
National Provider Directory
National Provider Directory- Part of
- Ga Urology ASC Canton
Locations
970 Joe Frank Harris Pkwy SE
Ste 260
Cartersville, GA 30120
Phone (770) 607-1893
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176595200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778025600000",
"number": "1336364520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1930 BRANNAN RD",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302534310",
"telephone_number": "678-284-4040",
"fax_number": "678-284-4076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 MEDICAL DR NE STE A",
"city": "CARTERSVILLE",
"state": "GA",
"postal_code": "301218003",
"telephone_number": "770-607-1893",
"fax_number": "770-607-2930"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GEORGIA UROLOGY PA",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "GEORGIA UROLOGY PA",
"enumeration_date": "2007-04-15",
"last_updated": "2026-05-06",
"certification_date": "2026-05-06",
"status": "A",
"authorized_official_last_name": "FELLNER",
"authorized_official_first_name": "DAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "678-205-8360"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "11D0943322",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cartersville, GA
- Georgia Highlands Medical Services, Inc. (Bartow Family Health Center)
- Georgia Orthopedic Specialists, Inc.
- Georgia Pain Spine Center
- Georgia Pro Motion Physical Therapy Limited Partnership
- Georgia Spine Specialists
- Daryl Gessner
- Anastasia Arabella Getz
- Viola H Ghawi, PHARMD
- Sonam Ghimire
- Corey M Gibson, D.P.T
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; 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.