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Georgia Urology PA

NPI 1245250646ActiveOrganization· Urology· Riverdale, GA

Urology in Riverdale, Georgia, registered in NPPES in July 2006. The authorized official on file is Dan Fellner, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1245250646
StatusActive
Entity typeOrganization
NPI issuedJul 20, 2006
Last updated in NPPESMay 6, 2026
Certified by providerMay 6, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Urology Primary208800000X—GA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (GA)

Medicare sources and data years

Other Urology providers in Riverdale

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