Organization Active NPI

Georgia Regional Urology PC

  • Urology Physician
  • Marietta, GA
National Provider Identifier
1558412502
Registry record updated Dec 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
GEORGIA REGIONAL UROLOGY PC
Practice address
2520 Windy Hill Rd SE
Suite 305
Marietta, GA 30067-8664
Phone
(770) 951-0866
Fax
(770) 951-1688
NPI assigned
Jan 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2009

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

Authorized official

Name
David L Perlow, MD
Title
Medical Doctor
Phone
(770) 951-0866

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X GA Primary

Addresses

Primary practice location

2520 Windy Hill Rd SE
Suite 305
Marietta, GA 30067-8664

Mailing address

2520 Windy Hill Rd SE
Suite 305
Marietta, GA 30067-8664
Phone (770) 951-0866

Other identifiers 3

IdentifierTypeStateIssuer
0621780001OtherGADMERC
7280346OtherGAAETNA
CL8362OtherGARAILROAD MEDICARE

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D0711711Georgia Regional Urology PC Marietta2520 Windy Hill Road Suite 305, Marietta, GA 30067Provider-performed microscopyAug 31, 2026
11D2323100Georgia Regional Urology, PC2520 Windy Hill Road, SE, Suite 305, Marietta, GA 30067Provider-performed microscopyApr 30, 2027

National Provider Directory

National Provider Directory

Locations

2520 Windy Hill Rd SE
Ste 201
Marietta, GA 30067
Phone (404) 889-5307

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262131200000",
    "number": "1558412502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 WINDY HILL RD SE",
            "address_2": "SUITE 305",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678664",
            "telephone_number": "770-951-0866",
            "fax_number": "770-951-1688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 WINDY HILL RD SE",
            "address_2": "SUITE 305",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678664",
            "telephone_number": "770-951-0866",
            "fax_number": "770-951-1688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA REGIONAL UROLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2009-12-30",
        "status": "A",
        "authorized_official_last_name": "PERLOW",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "770-951-0866",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "0621780001",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7280346",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CL8362",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2009; 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.