Organization Active NPI

Urology Specialists of Georgia

  • Urology Physician
  • Macon, GA
National Provider Identifier
1699786590
Registry record updated Sep 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
056343 Issued in GA
Legal business name
UROLOGY SPECIALISTS OF GEORGIA
Practice address
5400 Bowman Rd
100
Macon, GA 31210-8879
Phone
(478) 745-6576
Fax
(478) 746-0018
NPI assigned
Aug 10, 2006
Last updated
Sep 24, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2013

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

Authorized official

Name
Joshua A Perkel, MDNPI 1700897691
Title
Physician Owner
Phone
(478) 745-6576

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208800000X
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208800000X 056343 GA Primary

Addresses

Primary practice location

5400 Bowman Rd
100
Macon, GA 31210-8879

Mailing address

5400 Bowman Rd
100
Macon, GA 31210-8879
Phone (478) 745-6576

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040524000146 GA Part B Supplier - Clinic/Group Practice 1153312574 Receives reassigned benefits from 17 practitioners
Practice locations: Macon, GA

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
11D0264063Urology Specialists of Georgia5400 Bowman Road, Suite 100, Macon, GA 31210RegistrationMar 31, 2027

National Provider Directory

National Provider Directory

Locations

220 Industrial Blvd
Ste De
Dublin, GA 31021
Phone (478) 745-6576

1062 Forsyth St
Ste 2A
Macon, GA 31201
Phone (478) 742-6738

5400 Bowman Rd
#100
Macon, GA 31210
Phone (478) 745-6576

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379980800000",
    "number": "1699786590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 BOWMAN RD",
            "address_2": "100",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312108879",
            "telephone_number": "478-745-6576",
            "fax_number": "478-746-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 BOWMAN RD",
            "address_2": "100",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312108879",
            "telephone_number": "478-745-6576",
            "fax_number": "478-746-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGY SPECIALISTS OF GEORGIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2013-09-24",
        "status": "A",
        "authorized_official_last_name": "PERKEL",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "478-745-6576",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": "GA",
            "license": "056343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; 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.

Verify at the official NPI Registry.