Georgia Urology Northeast LLC
NPI 1205643897ActiveOrganization· Urology· Braselton, GA
Urology in Braselton, Georgia, registered in NPPES in December 2024, part of Georgia Urology, PA. The authorized official on file is Dan Fellner, Ceo.
Overview
| NPI | 1205643897 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Georgia Urology, PA |
| NPI issued | Dec 17, 2024 |
| Last updated in NPPES | May 6, 2026 |
| Certified by provider | May 6, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Urology Primary | 208800000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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