Active NPI
Central Ga Urology LLC
- Urology Physician
- Dublin, GA
National Provider Identifier
1780548883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- CENTRAL GA UROLOGY LLC
- Practice address
- 1000 Hillcrest Pkwy
Dublin, GA 31021-4208 - Phone
- (478) 334-2800
- Fax
- (478) 334-2800
- NPI assigned
- Dec 12, 2025
- 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
- Anthony Edward Barnes
- Title
- Authorized Official
- Phone
- (478) 334-2800
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | Primary |
Addresses
Primary practice location
1000 Hillcrest Pkwy
Dublin, GA 31021-4208
Mailing address
PO Box 117896
Atlanta, GA 30368-7896
Phone (478) 334-2800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260618000697 | GA | Part B Supplier - Clinic/Group Practice | 7810469046 | Practice locations: Dublin, GA |
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 |
|---|---|---|---|
| 11D2340693 | Central Ga Urology | Certificate of waiver | Mar 19, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Urology Physician
- Dublin, GA
- NPI 1063410173
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765497600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1777420800000",
"number": "1780548883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 117896",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303687896",
"telephone_number": "478-334-2800",
"fax_number": "478-334-2800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 HILLCREST PKWY",
"city": "DUBLIN",
"state": "GA",
"postal_code": "310214208",
"telephone_number": "478-334-2800",
"fax_number": "478-334-2800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL GA UROLOGY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-12",
"last_updated": "2026-04-29",
"certification_date": "2026-04-29",
"status": "A",
"authorized_official_last_name": "BARNES",
"authorized_official_first_name": "ANTHONY",
"authorized_official_middle_name": "EDWARD",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "478-334-2800"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dublin, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; 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.