GEORGIA UROLOGY NORTHEAST LLC
NPI 1205643897
Urology in Braselton, GA

NPI Status: Active since December 17, 2024

Contact Information

1223 FRIENDSHIP RD.
BLDG. 400, SUITE 100
BRASELTON, GA
ZIP 30517
Phone: (678) 205-8387

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  • Organization
  • Urology

About GEORGIA UROLOGY NORTHEAST LLC

This page provides the complete NPI Profile along with additional information for Georgia Urology Northeast Llc, a provider established in Braselton, Georgia operating as a Urology. The healthcare provider is registered in the NPI registry with number 1205643897 assigned on December 2024. The practitioner's primary taxonomy code is 208800000X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dan Fellner (Ceo)

NPI
1205643897
Provider Name
GEORGIA UROLOGY NORTHEAST LLC
Entity Type
Organization
Location Address
1223 FRIENDSHIP RD. BLDG. 400, SUITE 100 BRASELTON, GA 30517
Location Phone
(678) 205-8387
Mailing Address
1930 BRANNAN RD MCDONOUGH, GA 30253
Mailing Phone
(678) 284-4040
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
12-17-2024
Last Update Date
12-17-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Urology

Taxonomy Code
208800000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DAN FELLNER

Authorized Official Title
CEO
Authorized Official Phone
(678) 284-4040

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1205643897
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22051246818
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 0 + 5 + 1 + 2 + 4 + 6 + 8 + 1 + 8 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1205643897 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1144050493GEORGIA UROLOGY, PA
Organization
Urology1223 FRIENDSHIP RD. BLDG. 400, SUITE 110
BRASELTON, GA 30517
(770) 963-2451
1861222119GEORGIA UROLOGY, PA
Organization
Clinic/Center (Ambulatory Surgical)1223 FRIENDSHIP RD. BLDG. 400, SUITE 110
BRASELTON, GA 30517
(770) 963-2451
1538691498GEORGIA UROLOGY PA
Organization
Urology1223 FRIENDSHIP RD. BLDG. 400 SUITE 100
BRASELTON, GA 30517
(678) 205-8387
1760036776DR. MICHAEL RAYMOND BUTZEN DNP
Individual
Nurse Practitioner (Acute Care)1223 FRIENDSHIP RD. BLDG. 400, SUITE 100
BRASELTON, GA 30517
(678) 205-8387

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205643897, enumerated in the NPI registry as an "organization" on December 17, 2024

The provider is located at 1223 Friendship Rd. Bldg. 400, Suite 100 Braselton, Ga 30517 and the phone number is (678) 205-8387

This medical organization specializes in Urology with taxonomy code 208800000X

This NPI record was last updated on December 17, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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