GEORGIA UROLOGY, PA (NPI# 1083268783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083268783 |
| Entity Type | Organization |
| Organization Name | GEORGIA UROLOGY, PA |
| Practice Address |
120 Trinity Pl Athens GA 30607-2100 |
| Mailing Address |
1930 Brannan Rd Mcdonough GA 30253-4310 |
| Practice Telephone | 4042525206 |
| Mailing Telephone | 6782844040 |
| Enumeration Date | 2019-07-31 |
| Last Update Date | 2019-07-31 |
| Authorized Official Name | MARK A HABER (MANAGING PARTNER) |
| Authorized Official Telephone | 6782844040 |
| Is Organization Subpart | Y |
| Parent Organization Name | GEORGIA UROLOGY PA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093369795 | Georgia Urology, Pa | Urology | 470 Northside Cherokee Blvd Ste 210, Canton, GA 30115-8029 | 2019-07-31 |
| 1699328369 | Georgia Urology, Pa | Clinic/Center | 1670 Scott Blvd Ste 204k, Decatur, GA 30033-5645 | 2019-07-22 |
| 1952771230 | Georgia Urology, Pa | Clinic/Center | 3400 Old Milton Pkwy Ste C535, Alpharetta, GA 30005-4456 | 2015-09-30 |
| 1629222815 | Georgia Urology, Pa | Clinic/Center | 1301 Sigman Rd Ne Ste 250b, Conyers, GA 30012-3812 | 2008-11-14 |
| 1003428590 | Georgia Urology, Pa | Urology | 4150 Deputy Bill Cantrell Memorial Rd., Suite 140a, Cumming, GA 30040 | 2020-08-18 |
| 1245875236 | Georgia Urology, Pa | Urology | 631 Professional Dr Ste 490, Lawrenceville, GA 30046-3370 | 2019-11-13 |
| 1639499627 | Georgia Urology, Pa | Clinic/Center | 790 Church St Ne, Suite 430, Marietta, GA 30060-7282 | 2010-06-02 |
| Street Address |
120 TRINITY PL |
| City | ATHENS |
| State | GA |
| Zip Code | 30607-2100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205834009 | Grady Elmore | Nurse Practitioner | 120 Trinity Pl, Athens, GA 30607-2100 | 2005-07-14 |
| 1043718331 | Jay Rains | Physician Assistant | 120 Trinity Pl, Athens, GA 30607-2100 | 2018-02-01 |
| 1194148767 | Amanda Stephens | Nurse Practitioner | 120 Trinity Pl, Athens, GA 30607-2100 | 2014-02-01 |
| 1710145677 | The Urology Clinic | Specialist | 120 Trinity Pl, Athens, GA 30607-2100 | 2008-05-28 |
| 1265690127 | The Urology Clinic | Specialist | 120 Trinity Pl, Athens, GA 30607-2100 | 2008-05-28 |
| 1386739498 | Georgia Lithotripsy and Laser Center | Clinic/Center | 120 Trinity Pl, Athens, GA 30607-2100 | 2006-10-04 |
| 1174549653 | The Urology Clinic, P.C. | Specialist | 120 Trinity Pl, Athens, GA 30607-2100 | 2006-07-15 |
| 1013916774 | Marie B Anderson | Physician Assistant | 120 Trinity Pl, Athens, GA 30607-2100 | 2005-07-15 |
| 1669471496 | David Carter Allen | Urology | 120 Trinity Pl, Athens, GA 30607-2100 | 2005-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972850055 | Junaid Nasir | Internal Medicine | 5105 Jefferson Rd Ste B, Athens, GA 30607 | 2012-08-08 |
| 1942588918 | Gustavo Figueiredo Marcondes Westin | Internal Medicine | 3320 Old Jefferson Road, Bldg 700, Athens, GA 30607 | 2011-07-25 |
| 1124164421 | Martin John Simmons | Dentist | 3380 Old Jefferson Road, Athens, GA 30607 | 2007-01-30 |
| 1518063338 | The Center for Plastic & Reconstructive Surgery, P.C. | Clinic/Center | 3320 Old Jefferson Rd., Building 100, Athens, GA 30607 | 2006-09-16 |
| 1730173352 | Mohan N Iyer | Ophthalmology | 2705 Jefferson Rd., Athens, GA 30607 | 2005-09-09 |
| 1669473245 | Angela G Stiles | Internal Medicine | 3320 Old Jefferson Road, Bldg 200 Ste A, Athens, GA 30607 | 2005-08-09 |
| 1326691171 | Teresa Rosser | Nurse Practitioner | 3320 Old Jefferson Road, Bldg 700, Athens, GA 30607 | 2019-07-22 |
| 1124501184 | Anna Cauthen Mcfather | Physician Assistant | 3320 Old Jefferson Road, Bldg 700, Athens, GA 30607 | 2018-09-14 |
| 1013498849 | Mary Rougeau Browning | Physician Assistant | 3320 Old Jefferson Road, Bldg 700, Athens, GA 30607 | 2018-08-29 |
| 1073092334 | Katelyn Taylor Gillespie | Nurse Practitioner | 3320 Old Jefferson Road, Bldg 700, Athens, GA 30607 | 2018-08-08 |
| Find all providers in zip 30607 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952739484 | Limestone Urology Associates | Urology | 101 Fitness Way Ste 2300, Athens, AL 35611-2480 | 2013-10-18 |
| 1568642767 | Mark A Adams | Urology | 957 Baxter Street, Athens, GA 30606 | 2007-11-06 |
| 1972625432 | Kristin Elizabeth Lowe | Urology | 75 Hospital Dr Ste 250, Athens, OH 45701-2866 | 2007-04-04 |
| 1174628127 | Catherine Bath Schwender | Urology | 2142 W Broad St Ste 200, Athens, GA 30606-3506 | 2006-09-14 |
| 1780651489 | Adam Christopher Stage | Urology | 1701 S Palestine St Ste A, Athens, TX 75751-5739 | 2006-03-02 |
| 1902804784 | Gary Richard Walton | Urology | 2142 W Broad St, Building 200, Suite 200, Athens, GA 30606-3506 | 2005-07-14 |
| 1073957783 | Samuel Belknap | Urology | 2142 W Broad St Ste 200, Athens, GA 30606 | 2013-04-24 |
| 1578803755 | Athens Area Urology, PC | Urology | 2142 W Broad St Ste 200, Athens, GA 30606 | 2013-02-25 |
| 1508180324 | Matthew C Steele | Urology | 2142 W Broad St, Building 200, Suite 200, Athens, GA 30606-3506 | 2010-03-23 |
| 1255591665 | Stephanie Johnson | Urology | 1500 Oglethorpe Ave, Suite 2000, Athens, GA 30606-2179 | 2008-06-10 |
| Find all providers in ATHENS | ||||
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| 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.