Georgia Urology Piedmont, LLC
NPI 1376163451ActiveOrganization· Urology· Conyers, GA
Urology in Conyers, Georgia, registered in NPPES in April 2020, part of Georgia Urology, PA. The authorized official on file is Lacy Williams, Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1376163451 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Georgia Urology, PA |
| NPI issued | Apr 20, 2020 |
| Last updated in NPPES | Apr 20, 2020 |
| Certified by provider | Apr 20, 2020 |
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) | Enrolled Part B Supplier - Clinic/Group Practice (GA) |
|---|
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