Organization Active NPI

North Atlanta Urology Assoc PC

  • Urology Physician
  • Lawrenceville, GA
National Provider Identifier
1760660179
Registry record updated Feb 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
NORTH ATLANTA UROLOGY ASSOC PC
Practice address
631 Professional Dr
Suite 490
Lawrenceville, GA 30046-3367
Phone
(770) 995-0424
Fax
(770) 513-7334
NPI assigned
Feb 7, 2008
Last updated
Feb 2, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2011

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

Authorized official

Name
Ms. Dorothy E Wimmerstedt
Title
Office Manager
Phone
(404) 256-5332

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X GA Primary

Addresses

Primary practice location

631 Professional Dr
Suite 490
Lawrenceville, GA 30046-3367

Mailing address

631 A Professional Dr
Suite 490
Lawrenceville, GA 30046-3367
Phone (770) 995-0424

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

601 Professional Dr
#320A
Lawrenceville, GA 30046
Phone (770) 995-0424

601 Professional Dr
Ste 320
Lawrenceville, GA 30046
Phone (770) 995-0424

631 Professional Dr
Ste 490
Lawrenceville, GA 30046
Phone (770) 963-8444

980 Johnson Ferry Rd
Ste 290
Sandy Springs, GA 30342

Interoperability endpoints

  • Direct secure messaging: douglasnyhoff@nauassocs.medalliesdirect.net
  • Direct secure messaging: howardgoldberg@nauassocs.medalliesdirect.net
  • Direct secure messaging: jinyeoh@nauassocs.medalliesdirect.net

NPI Registry JSON

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296604800000",
    "number": "1760660179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 A PROFESSIONAL DR",
            "address_2": "SUITE 490",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300463367",
            "telephone_number": "770-995-0424",
            "fax_number": "770-513-7334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 PROFESSIONAL DR",
            "address_2": "SUITE 490",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300463367",
            "telephone_number": "770-995-0424",
            "fax_number": "770-513-7334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH ATLANTA UROLOGY ASSOC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-07",
        "last_updated": "2011-02-02",
        "status": "A",
        "authorized_official_last_name": "WIMMERSTEDT",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "404-256-5332",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.