Active NPI
Urology of Greater Atlanta LLC
- Specialist
- Stockbridge, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- UROLOGY OF GREATER ATLANTA LLC
- Practice address
- 180 N Park TRL Ste 100
Stockbridge, GA 30281-7372 - Phone
- (770) 474-5281
- Fax
- (770) 389-8674
- NPI assigned
- Sep 20, 2006
- Last updated
- Oct 7, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Cheris L Craig
- Title
- Executive Director
- Phone
- (770) 474-5281
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
180 N Park TRL Ste 100
Stockbridge, GA 30281-7372
Mailing address
180 N Park TRL Ste 100
Stockbridge, GA 30281-7372
Phone (770) 474-5281
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2050503 | Urology of Greater Atlanta, LLC | Accreditation | Jan 1, 2027 |
| 11D2151075 | Urology of Greater Atlanta, LLC | Provider-performed microscopy | Jul 10, 2028 |
National Provider Directory
National Provider DirectoryLocations
550 Peachtree St NE
Ste 1265
Atlanta, GA 30308
Phone (404) 221-1095
36 Mulberry St
Ste 2
East Ellijay, GA 30540
Phone (706) 635-3630
685 S 9th St
Griffin, GA 30224
1502 W 3rd St
Ste B
Jackson, GA 30233
Phone (770) 775-0065
29 Upper Riverdale Rd SW
Ste 100
Riverdale, GA 30274
Phone (770) 907-1199
29 Upper Riverdale Rd SW
Ste 150
Riverdale, GA 30274
Phone (770) 907-1199
5673 Peachtree Dunwoody Rd
Ste 730
Sandy Springs, GA 30342
Phone (404) 943-0000
180 N Park Trl
Ste 210
Stockbridge, GA 30281
290 Country Club Dr
Ste 230
Stockbridge, GA 30281
290 Country Club Dr
Ste 240
Stockbridge, GA 30281
Phone (678) 565-1806
290 Country Club Dr
Ste 730
Stockbridge, GA 30281
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Anesthesiology Physician
- Stockbridge, GA
- NPI 1932077765
Practitioners & affiliated clinicians
Practitioners 35
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.
-
- Anatomic Pathology Physician
- Stockbridge, GA
- NPI 1952565947
-
- Urology Physician
- Stockbridge, GA
- NPI 1033217252
-
- Urology Physician
- Stockbridge, GA
- NPI 1275737066
-
- Urology Physician
- Stockbridge, GA
- NPI 1841284718
-
- Urology Physician
- Stockbridge, GA
- NPI 1942278874
-
- Urology Physician
- Stockbridge, GA
- NPI 1326146507
-
- Urology Physician
- Stockbridge, GA
- NPI 1225534316
-
- Urology Physician
- Stockbridge, GA
- NPI 1518065754
-
- Urology Physician
- Stockbridge, GA
- NPI 1265850465
-
- Urology Physician
- Stockbridge, GA
- NPI 1639521420
-
- Urology Physician
- Stockbridge, GA
- NPI 1144614355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728259200000",
"number": "1669570990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 N PARK TRL STE 100",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302817372",
"telephone_number": "770-474-5281",
"fax_number": "770-389-8674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 N PARK TRL STE 100",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302817372",
"telephone_number": "770-474-5281",
"fax_number": "770-389-8674"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UROLOGY OF GREATER ATLANTA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-20",
"last_updated": "2024-10-07",
"certification_date": "2024-10-07",
"status": "A",
"authorized_official_last_name": "CRAIG",
"authorized_official_first_name": "CHERIS",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "770-474-5281",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stockbridge, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.