Georgia Urology Infertility Services

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

GEORGIA UROLOGY INFERTILITY SERVICES

Practice address

11459 Johns Creek Pkwy
Suite 170
Johns Creek, GA 30097-3515

Phone

(678) 417-0400

Fax

(678) 417-0483

NPI assigned

Nov 17, 2010

Last updated

Jan 23, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

GEORGIA UROLOGY PAAs reported in NPPES

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

Authorized official

Name

Mark A Haber, M.D.NPI 1710089404

Title

Managing Partner

Phone

(678) 284-4049

Specialties & licenses 1

Addresses

Tax ID family

Georgia Urology Infertility Services2 organizations share this tax ID, including this one

Part of

Ga Urology ASC Canton

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Georgia Urology PA

  • Urology Physician
  • Decatur, GA
  • NPI 1467628586
  NPD tax ID

Practitioners 1

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.

• Mark A Haber, M.D.

  • Urology Physician
  • Atlanta, GA
  • NPI 1710089404
  Authorized official Same address or phone

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

{
    "created_epoch": "1289952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421971200000",
    "number": "1861794265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 BRANNAN RD",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302534310",
            "telephone_number": "678-284-4040",
            "fax_number": "678-284-4076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11459 JOHNS CREEK PKWY",
            "address_2": "SUITE 170",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300973515",
            "telephone_number": "678-417-0400",
            "fax_number": "678-417-0483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA UROLOGY INFERTILITY SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GEORGIA UROLOGY PA",
        "enumeration_date": "2010-11-17",
        "last_updated": "2015-01-23",
        "status": "A",
        "authorized_official_last_name": "HABER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "678-284-4049",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Georgia Urology PA
• Rachael Elizabeth Germany
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• Gi Diagnostics PC
• Edith Gibson

• Urology Physician in Johns Creek, GA
• Providers in Johns Creek, GA by specialty
• Urology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2015; 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.