Albany Urology Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

ALBANY UROLOGY SURGERY CENTER LLC

Doing business as

Albany Urology Surgery Center

Practice address

2400 Osler Court
Albany, GA 31707

Phone

(229) 883-1503

Fax

(229) 438-2815

NPI assigned

Apr 30, 2013

Last updated

Jun 5, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Dukes

Title

Practice Administrator

Phone

(229) 449-1676

Specialties & licenses 1

Addresses

Other names 1

• Albany Urology Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Listed as

Albany Urology Surgery Center LLC Dba Albany Urology Surgery CenterCCN 11C0001416

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

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

• Albany Urology Clinic

  • Urology Physician
  • Albany, GA
  • NPI 1043383623

  Member Of

  NPD member

Practitioners 9

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.

• Khaled Ajib, MD

  • Urology Physician
  • Albany, GA
  • NPI 1265019368
  Medicare reassignment NPD
• Michael D. Daugherty, D.O.

  • Urology Physician
  • Albany, GA
  • NPI 1467447938
  Medicare reassignment NPD
• Mary Hinman Hockman, NP-C

  • Nurse Practitioner
  • Albany, GA
  • NPI 1811655814
  Medicare reassignment NPD
• Ashley Keen Gavelek, FNP-C

  • Family Nurse Practitioner
  • Orange Park, FL
  • NPI 1770082190

  GA

  Medicare reassignment NPD
• Missy Michelle East, NP

  • Nurse Practitioner
  • Albany, GA
  • NPI 1295926392
  Medicare reassignment
• Michael Blair Monahan, D.O.

  • Urology Physician
  • Albany, GA
  • NPI 1114213428
  Medicare reassignment
• Steven A Snipes, PA

  • Surgical Physician Assistant
  • Albany, GA
  • NPI 1689669210
  Medicare reassignment
• Kemberly Miller Gilbert, NP

  • Family Nurse Practitioner
  • Albany, GA
  • NPI 1154962348
  NPD (past)
• Rodney Kenneth Siau, FNP-C

  • Family Nurse Practitioner
  • Albany, GA
  • NPI 1639216344
  NPD (past)

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

{
    "created_epoch": "1367280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528156800000",
    "number": "1346685666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 OSLER CT",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317070205",
            "telephone_number": "229-883-1503",
            "fax_number": "229-438-2815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 OSLER COURT",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "31707",
            "telephone_number": "229-883-1503",
            "fax_number": "229-438-2815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBANY UROLOGY SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-30",
        "last_updated": "2018-06-05",
        "status": "A",
        "authorized_official_last_name": "DUKES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "229-449-1676"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Albany Urology Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Albany State University (Albany State Sports Medicine)
• Albany Surgery Center, LLP
• Albany Surgical, P.C.
• Albany Therapeutic Massage Clinic
• Albany Urology Clinic
• Albany Vascular Specialist Center LLC (Albany Vascular)
• Kelly Dawn Albrecht, MD, FRCSC
• Hailey Leeanne Albury
• Troy Drawdy Alderman, NP-C, DC
• Maria Dawn Aldridge, PHARM. D.

• Ambulatory Surgical Clinic/Center in Albany, GA
• Providers in Albany, GA by specialty
• Ambulatory Surgical Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.