ADVANCED UROLOGY INSTITUTE OF GEORGIA (NPI# 1982182655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982182655 |
| Entity Type | Organization |
| Organization Name | ADVANCED UROLOGY INSTITUTE OF GEORGIA |
| Practice Address |
1460 S Johnson Ferry Rd Atlanta GA 30319-4301 |
| Mailing Address |
1557 Janmar Rd Snellville GA 30078-5686 |
| Practice Telephone | 6783448900 |
| Practice Fax Number | 6786665201 |
| Mailing Telephone | 6783448900 |
| Mailing Fax Number | 6786665201 |
| Enumeration Date | 2018-08-03 |
| Last Update Date | 2018-08-03 |
| Authorized Official Name | JITESH VINOD PATEL (PRESIDENT) |
| Authorized Official Telephone | 6783448900 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | ADVANCED UROLOGY INSTITUTE OF GEORGIA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 65869 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295382778 | Advanced Urology Institute of Georgia | Clinic/Center | 1371 Church Street Ext Ne Ste 200, Marietta, GA 30060-7913 | 2019-08-20 |
| 1457851255 | Advanced Urology Institute of Georgia | Urology | 501 Crown Point Way, Lawrenceville, GA 30046 | 2018-02-19 |
| 1386128494 | Advanced Urology Institute of Georgia | Urology | 11660 Alpharetta Hwy, Bldg 700 Ste 700, Roswell, GA 30076-4956 | 2018-09-25 |
| 1598262016 | Advanced Urology Institute of Georgia | Non-Pharmacy Dispensing Site | 1555 Janmar Rd, Snellville, GA 30078 | 2018-04-11 |
| 1134642200 | Advanced Urology Institute of Georgia | Urology | 2711 Irvin Way, Decatur, GA 30030-5405 | 2017-07-20 |
| 1598218570 | Advanced Urology Institute of Georgia | Urology | 10730 Medlock Bridge Rd, Suite 110, Johns Creek, GA 30097-1705 | 2016-07-26 |
| 1073896510 | Advanced Urology Institute of Georgia | Urology | 1557 Janmar Rd, Snellville, GA 30078-5686 | 2011-09-21 |
| Street Address |
1460 S JOHNSON FERRY RD |
| City | ATLANTA |
| State | GA |
| Zip Code | 30319-4301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215556717 | Ronika Cotton | Marriage & Family Therapist | 2002 Summit Boulevard, Suite 300, Atlanta, GA 30319 | 2020-04-14 |
| 1093369548 | Gordon Peace | Physical Therapist | 705 Town Blvd Ne S 550, Atlanta, GA 30319 | 2019-08-01 |
| 1124682281 | Tiffany Nicole Blamble | Physician Assistant | 2235 Briarwood Way Ne, Brookhaven, GA 30319 | 2019-04-24 |
| 1891286860 | Sandy Springs Center for Urologic Surgery LLC | Clinic/Center | 1450 S Johnson Ferry Rd Ste 100, Atlanta, GA 30319 | 2018-05-24 |
| 1578070355 | Aaron Knott | Physical Therapist | 4260 Peachtree Road, Atlanta, GA 30319 | 2018-01-03 |
| 1639683832 | Lauren Hamann | Physical Therapist | 3777 Peachtree Rd Ne Apt 933, Brookhaven, GA 30319 | 2017-11-27 |
| 1760993984 | Caroline M. Brackette | Counselor | 2002 Summit Blvd Ste 300, Brookhaven, GA 30319 | 2017-10-15 |
| 1700328713 | Christina Head | Counselor | 1350 Dresden Drive, Atlanta, GA 30319 | 2016-11-08 |
| 1528432572 | Hillary Allyn Olivier | Occupational Therapist | 3747 Peachtree Rd, Atlanta, GA 30319 | 2015-11-13 |
| 1285025304 | Karl Weismantel | Physical Therapy Assistant | 1000 Lenox Park Blvd, Atlanta, GA 30319 | 2015-02-11 |
| Find all providers in zip 30319 | ||||
| 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 |
|---|---|---|---|---|
| 1720510241 | Georgia Urology Pa | Urology | 1110 W Peachtree St Nw Ste 1020, Atlanta, GA 30309-3609 | 2017-04-03 |
| 1033552799 | Andrew Pridjian | Urology | 5673 Peachtree Dunwoody Rd Ste 910, Atlanta, GA 30342-1776 | 2013-04-12 |
| 1518256890 | Aaron David Weiss | Urology | Emory Univ Hosp Dept of Urology, Ste B1400 1365 Clifton Rd Ne, Atlanta, GA 30322-0001 | 2011-04-07 |
| 1407172877 | Dhruti Mukund Patel | Urology | 1450 S Johnson Ferry Rd, Atlanta, GA 30319 | 2010-04-10 |
| 1598990533 | Tariq S Hakky | Urology | 371 E Paces Ferry Road, Suite 550, Atlanta, GA 30305 | 2009-05-20 |
| 1932351277 | Milton Joseph Deitch | Urology | 5770 Cameron Hall Pl Nw, Atlanta, GA 30328-4896 | 2008-10-17 |
| 1588812440 | Jaime Alan Wan Cheung Wong | Urology | 1800 Howell Mill Rd Nw Ste 500, Atlanta, GA 30318-2594 | 2008-09-04 |
| 1619161007 | Nathan F Pursifull | Urology | 275 Collier Rd Nw Ste 400, Atlanta, GA 30309-1711 | 2007-08-29 |
| 1437275385 | Christopher Paul Filson | Urology | 1365 Clifton Rd Ne Ste B1400, Atlanta, GA 30322-5330 | 2007-03-22 |
| 1457441354 | Rhonda Cornum | Urology | 1273 Staff Row Sw, Atlanta, GA 30310-5124 | 2006-10-13 |
| Find all providers in ATLANTA | ||||
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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.