Urological Health Center, PC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

052565 Issued in GA

Legal business name

UROLOGICAL HEALTH CENTER, PC

Practice address

1770 Watson Boulevard
Warner Robins, GA 31093

Phone

(478) 333-6961

Fax

(478) 333-6964

NPI assigned

Aug 21, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Angela Yvette Fussell

Title

Office Manager

Phone

(478) 333-6961

Specialties & licenses 1

Addresses

Other identifiers 1

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

CLIA laboratory certificates

Tax ID family

Urological Health Center PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Urological Health Center, PC

  • Urology Physician
  • Cordele, GA
  • NPI 1578624367
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melvin Lee Christopher Fussell, M.D.

  • Urology Physician
  • Warner Robins, GA
  • NPI 1699713594
  NPD

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534809600000",
    "number": "1477033124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 WATSON BOULEVARD",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "31093",
            "telephone_number": "478-333-6961",
            "fax_number": "478-333-6964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 WATSON BOULEVARD",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "31093",
            "telephone_number": "478-333-6961",
            "fax_number": "478-333-6964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGICAL HEALTH CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-21",
        "last_updated": "2018-08-21",
        "status": "A",
        "authorized_official_last_name": "FUSSELL",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "YVETTE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "478-333-6961",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "GA",
            "license": "052565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162941944H",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Unique-N-Assurance Healthcare Agency LLC
• United Medical Specialist, LLC
• United Seating and Mobility LLC
• Universal Radiology Consultants PC
• Urgent Care Center of Central Georgia LLC
• Urological Surgical Center LLC
• Usmedx, LLC
• Amber Van Atta, OTA
• Mavis B Vanbibber, LCSW
• Dale Vance, FNP

• Urology Physician in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Urology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; 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.

Verify at the official NPI Registry.