NPIMap

Organization Active NPI

Advanced Urology Institute of Georgia

  • Urology Physician
  • Roswell, GA
National Provider Identifier
1386128494
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
ADVANCED UROLOGY INSTITUTE OF GEORGIA
Practice address
11660 Alpharetta Hwy
Ste 700
Roswell, GA 30076-4916
Phone
(678) 344-8900
Fax
(678) 666-5201
NPI assigned
Sep 25, 2018
Last updated
Sep 23, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
ADVANCED UROLOGY INSTITUTE OF GEORGIA, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Authorized official

Name
Beemal Shah
Title
Ceo
Phone
(706) 951-8657

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X NU Primary

Addresses

Primary practice location

11660 Alpharetta Hwy
Ste 700
Roswell, GA 30076-4916

Mailing address

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110926000393 GA Part B Supplier - Clinic/Group Practice 1759552607 Receives reassigned benefits from 121 practitioners
16 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Conyers, GA; Snellville, GA; Roswell, GA; Marietta, GA; Lawrenceville, GA; Johns Creek, GA; Jasper, GA; Decatur, GA…

Other NPIs on the same Medicare enrollment 16

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 16

National Provider Directory

National Provider Directory
Tax ID family
Advanced Urology Institute of Georgia PC16 organizations share this tax ID, including this one
Part of
Advanced Urology Institute of Georgia PC

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Locations

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

11660 Alpharetta Hwy
Ste 700
Roswell, GA 30076
Phone (404) 495-5394

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

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1537833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790121600000",
    "number": "1386128494",
    "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": "678-666-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11660 ALPHARETTA HWY",
            "address_2": "STE 700",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764916",
            "telephone_number": "678-344-8900",
            "fax_number": "678-666-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED UROLOGY INSTITUTE OF GEORGIA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVANCED UROLOGY INSTITUTE OF GEORGIA, LLC",
        "enumeration_date": "2018-09-25",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "BEEMAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "706-951-8657"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.