GEORGIA UROLOGY PA


Address: 500 Medical Center Blvd, Suite 220, Lawrenceville, GA 30046
Phone: 7709632451

GEORGIA UROLOGY PA (NPI# 1053536243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053536243
Entity Type Organization
Organization Name GEORGIA UROLOGY PA
Practice Address 500 Medical Center Blvd
Suite 220
Lawrenceville
GA 30046
Mailing Address 1930 Brannan Rd
Mcdonough
GA 30253-4310
Practice Telephone 7709632451
Practice Fax Number 7709620017
Mailing Telephone 6782844040
Mailing Fax Number 6782844076
Enumeration Date 2007-04-15
Last Update Date 2015-01-28
Authorized Official Name DR. MARK A HABER (MANAGING PARTNER)
Authorized Official Telephone 6782844049
Authorized Official Credential M.D.
Is Organization Subpart Y
Parent Organization Name GEORGIA UROLOGY PA

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208800000X Urology Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
GA CLIA 11D0258125 01

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1265995724 Georgia Urology Pa Non-Pharmacy Dispensing Site 5900 Hillandale Dr Ste 200, Lithonia, GA 30058-3858 2019-04-11
1447772348 Georgia Urology Pa Urology 4800 Olde Towne Pkwy Ste 220, Marietta, GA 30068-4391 2017-07-12
1154855740 Georgia Urology Pa Urology 2161 W Spring St., Suite C, Monroe, GA 30655-3196 2017-04-20
1720510241 Georgia Urology Pa Urology 1110 W Peachtree St Nw Ste 1020, Atlanta, GA 30309-3609 2017-04-03
1184089989 Georgia Urology Pa Urology 2151b West Spring St, Ste 210, Monroe, GA 30655-3115 2015-12-21
1528308988 Georgia Urology Pa Urology 1357 Hembree Rd Ste 250, Roswell, GA 30076-5724 2013-02-21
1821261744 Georgia Urology Pa Urology 200 Dawson Commons Circle, Dawsonville, GA 30534 2008-04-11
1508081795 Georgia Urology Pa Urology 4645 Timber Ridge Dr Ste 120, Douglasville, GA 30135-7542 2007-04-15
1871144246 Georgia Urology Pa Urology 1670 Scott Blvd Ste 204k, Decatur, GA 30033-5645 2019-09-26
1073028643 Georgia Urology Pa Urology 4150 Deputy Bill Cantrell Memorial Road, Suite 140b, Cumming, GA 30040 2017-12-05

Office Location

Street Address 500 MEDICAL CENTER BLVD
SUITE 220
City LAWRENCEVILLE
State GA
Zip Code 30046

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902802515 Princewill U Ehirim Neurological Surgery 500 Medical Center Blvd, Suite 200, Lawrenceville, GA 30045-8708 2005-06-28
1619594520 Jennifer Hall Mckenzie Nurse Practitioner 500 Medical Center Blvd, Lawrenceville, GA 30046-8708 2020-06-26
1295273571 Amy Davidson Nurse Practitioner 500 Medical Center Blvd, Suite 365, Lawrenceville, GA 30046-8708 2017-02-07
1609244532 Gwinnett Emergency Specialists, P.C. General Acute Care Hospital 500 Medical Center Blvd, Lawrenceville, GA 30046-8708 2015-09-09
1770950578 Elizabeth Nicole Gray Nurse Practitioner 500 Medical Center Blvd, Suite 210, Lawrenceville, GA 30046-8708 2015-08-27
1609258870 Josephine Brinkley Nurse Practitioner 500 Medical Center Blvd, Suite 310, Lawrenceville, GA 30046-8708 2015-06-24
1235523937 Ehi Pharmacy Solutions, LLC. Non-Pharmacy Dispensing Site 500 Medical Center Blvd, Ste. 100, Lawrenceville, GA 30046-8708 2015-03-20
1386995470 Plastic Surgery of Gwinnett PC Specialist 500 Medical Center Blvd, Suite 150, Lawrenceville, GA 30046-8708 2012-09-28
1053677856 Jacqueline Bays Runyan Counselor 500 Medical Center Blvd, Suite 290, Lawrenceville, GA 30046-8708 2012-04-05
1912281429 Pediatric Cardiology Services Pediatrics 500 Medical Center Blvd, 340, Lawrenceville, GA 30046-8708 2011-10-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063023174 Alpha & Omega Hearing Centers Hearing Instrument Specialist Alpha & Omega Hearing Centers, 250 Langley Drive, Suite 1106, Lawrenceville, GA 30046 2020-08-12
1285259846 Mesun Health Services, Inc Clinical Nurse Specialist 88 Johnson Rd Building # 1-b, Lawrenceville, GA 30046 2020-06-10
1215550264 Mesun Health Services, Inc Skilled Nursing Facility 88 Johnson Rd. Building #2, Lawrenceville, GA 30046 2020-05-26
1306499785 Bryan Acosta Chiropractor 471 Scenic Hwy South, Lawrenceville, GA 30046 2019-07-24
1205308616 Belle Lumiere Cosmetics LLC Dermatology 753 Old Norcross Road, Lawrenceville, GA 30046 2018-12-24
1548730179 Alexis Nicole Robinson Nurse Anesthetist, Certified Registered 1000 Medical Center Boulevard, Lawrenceville, GA 30046 2018-11-27
1679060388 Christopher Puckett Student in an Organized Health Care Education/Training Program 665 Duluth Hwy Suite 501, Lawrenceville, GA 30046 2018-04-18
1457851255 Advanced Urology Institute of Georgia Urology 501 Crown Point Way, Lawrenceville, GA 30046 2018-02-19
1013447044 Pharmacy Investments of Lawrenceville, LLC Pharmacy 738 Old Norcross Road, Ste A, Lawrenceville, GA 30046 2017-06-13
1225577000 Priority Housecalls LLC Clinic/Center 225 Scenic Hwy, Ste 200, Lawrenceville, GA 30046 2017-02-14
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Taxonomy Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457851255 Advanced Urology Institute of Georgia Urology 501 Crown Point Way, Lawrenceville, GA 30046 2018-02-19
1760826952 David Zhang Qi Urology 501 Crownpointe Way, Lawrenceville, GA 30046 2013-04-18
1992768840 Douglas A Nyhoff Urology 631 Professional Dr Ste 490, Lawrenceville, GA 30046-3370 2006-04-11
1033195391 Russell M Freid Urology 2 Princess Rd Ste J, Lawrenceville Urology, Lawrenceville, NJ 08648-2320 2005-12-19
1245875236 Georgia Urology, Pa Urology 631 Professional Dr Ste 490, Lawrenceville, GA 30046-3370 2019-11-13
1609295666 Alex M Arnouk Urology 2 Princess Rd Ste J, Lawrenceville, NJ 08648-2320 2014-04-07
1417190901 Jin Soon Yeoh Urology 631 Professional Dr Ste 490, Lawrenceville, GA 30046-3370 2009-04-13
1992946792 Georgia Urology Pa Urology 720 Old Snellville Hwy, Suite 100, Lawrenceville, GA 30044-6216 2009-03-09
1982875829 Michael S Cohen Urology 2 Princess Rd, Suite J, Lawrenceville, NJ 08648-2320 2008-03-19
1760660179 North Atlanta Urology Assoc PC Urology 631 Professional Dr, Suite 490, Lawrenceville, GA 30046-3367 2008-02-07
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Competitor

Search similar providers

City LAWRENCEVILLE
Zip Code 30046

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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