Advanced Urology Institute of Georgia
Organization Active NPI Non-Pharmacy Dispensing Site · Roswell, GA
NPI 1598262016 · NPPES record last updated Feb 27, 2024
Key facts
- NPI
- 1598262016
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Non-Pharmacy Dispensing Site 332900000X
- Legal business name
- ADVANCED UROLOGY INSTITUTE OF GEORGIA
- Practice address
- 11660 Alpharetta Hwy Ste 700
Roswell, GA 30076-4956 - Phone
- (678) 344-8900
- Fax
- (404) 492-7021
- NPI assigned
- Apr 11, 2018
- Organization subpart
- No
Authorized official
- Name
- Dr. Jitesh Vinod Patel, MD
- Title
- Ceo/President
- Phone
- (678) 751-3274
Corporate family (same tax ID) 15
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2164260 | Advanced Urology Alpharetta | Certificate of waiver | Mar 31, 2027 |
National Provider Directory
- Tax ID family
- Advanced Urology Insti Ga
Locations
11660 Alpharetta Hwy
Ste 700
Roswell, GA 30076
Phone (678) 839-9973
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-Pharmacy Dispensing Site | 332900000X | Yes |
Addresses
Primary practice location
11660 Alpharetta Hwy Ste 700
Roswell, GA 30076-4956
Mailing address
1557 Janmar Rd
Snellville, GA 30078-5686
Phone (678) 344-8900
Other practice location 1
1555 Janmar Rd
Snellville, GA 30078
Phone (678) 344-8900 ext. 107
Other practice location 2
1557 Janmar Rd
Snellville, GA 30078-5686
Phone (678) 344-8900 ext. 107
Other names
- Advanced Urology
Other providers in Roswell, GA
- Advanced Family Wellness Group LLC
- Advanced Family Wellness, L.L.C.
- Advanced Gynecology PC
- Advanced Recovery Systems, LLC
- Advanced Urology Institute of Georgia
- Advantage Bodycare Solutions, LLC
- Adventures in Balance, LLC
- Aegis Group Practice LLC
- Aegis Group Practice LLC
- Aegis Group Practice, LLC
All providers in Roswell, GA · Non-Pharmacy Dispensing Site in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 27, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.