Georgia Urology PA
NPI 1407194558ActiveOrganization· Urology· Fayetteville, GA
Urology in Fayetteville, Georgia, registered in NPPES in January 2013, part of Georgia Urology PA. The authorized official on file is Dan Fellner, Ceo.
Overview
| NPI | 1407194558 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Georgia Urology PA |
| NPI issued | Jan 24, 2013 |
| 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 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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