ATLANTA METRO UROLOGY CLINICS PC
NPI 1811084759
Urology in Fayetteville, GA

NPI Status: Active since October 10, 2006

Contact Information

1275 HIGHWAY 54 W
SUITE 205
FAYETTEVILLE, GA
ZIP 30214
Phone: (770) 716-9656
Fax: (770) 716-1609

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  • Organization
  • Urology

About ATLANTA METRO UROLOGY CLINICS PC

This page provides the complete NPI Profile along with additional information for Atlanta Metro Urology Clinics Pc, a provider established in Fayetteville, Georgia operating as a Urology. The healthcare provider is registered in the NPI registry with number 1811084759 assigned on October 2006. The practitioner's primary taxonomy code is 208800000X. The provider is registered as an organization and their NPI record was last updated 17 years 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 Dr. Fernando A Duralde M.d. (President)

NPI
1811084759
Provider Name
ATLANTA METRO UROLOGY CLINICS PC
Entity Type
Organization
Location Address
1275 HIGHWAY 54 W SUITE 205 FAYETTEVILLE, GA 30214
Location Phone
(770) 716-9656
Location Fax
(770) 716-1609
Mailing Address
1275 HIGHWAY 54 W SUITE 205 FAYETTEVILLE, GA 30214
Mailing Phone
(770) 716-9656
Mailing Fax
(770) 716-1609
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-10-2006
Last Update Date
03-13-2008
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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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

DR. FERNANDO A DURALDE M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(770) 716-9656

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
CN9719OTHER (01)GARAILROAD MEDICARE
5371070002MEDICARE NSC (07)GA 
55002145AMEDICAID (05)GA 
GRP3277MEDICARE ID-TYPE UNSPECIFIED (04)GA 

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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.
1811084759
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2821088710
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 2 + 1 + 0 + 8 + 8 + 7 + 1 + 0 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1811084759 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 19 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1619962503P E T IMAGING OF FAYETTE LLC
Organization
Radiology (Diagnostic Radiology)1275 HIGHWAY 54 W STE 102
FAYETTEVILLE, GA 30214
(770) 719-3754
1629046768 MARTHA A SCHUH M.D.
Individual
Specialist1275 HIGHWAY 54 W SUITE 201
FAYETTEVILLE, GA 30214
(770) 461-3776
1144254004 J. RENA OWSLEY-BROWN DMD
Individual
Dentist (General Practice)1275 HIGHWAY 54 W SUITE 204
FAYETTEVILLE, GA 30214
(770) 461-5500
1801906474 LESLIE ROSENBLATT-BROWN PA-C
Individual
Physician Assistant1275 HIGHWAY 54 W SUITE 201
FAYETTEVILLE, GA 30214
(770) 461-3776
1285784819MS. SHANNON WILLIAMS ALEXANDER OTR L
Individual
Occupational Therapist1275 HIGHWAY 54 W STE 200
FAYETTEVILLE, GA 30214
(770) 460-8609
1306979059MR. WALLACE MAXWELL GREEN PAC
Individual
Psychiatry & Neurology (Neurology)1275 HIGHWAY 54 W STE.105
FAYETTEVILLE, GA 30214
(770) 719-2965
1306035126MARTHA A SCHUH, MD
Organization
Specialist1275 HIGHWAY 54 W SUITE 201
FAYETTEVILLE, GA 30214
(770) 461-3776
1841460912ATLANTA SOUTH PHYSICAL THERAPY, INC
Organization
Physical Therapist1275 HIGHWAY 54 W SUITE 202
FAYETTEVILLE, GA 30214
(770) 460-8609
1801068754J. RENA OWSLEY-BROWN
Organization
Dentist (General Practice)1275 HIGHWAY 54 W SUITE 204
FAYETTEVILLE, GA 30214
(770) 461-5500
1982877197SLEEP SERVICES OF AMERICA
Organization
Clinical Medical Laboratory1275 HIGHWAY 54 W SUITE 203
FAYETTEVILLE, GA 30214
(404) 892-0308
1447402086MR. JOHN W SIMS N.P.
Individual
Nurse Practitioner1275 HIGHWAY 54 W SUITE 200
FAYETTEVILLE, GA 30214
(770) 461-3776
1881932010GEORGIA UROLOGY PA
Organization
Urology (Pediatric Urology)1275 HIGHWAY 54 W SUITE 205
FAYETTEVILLE, GA 30214
(770) 716-9656
1982838561 ANTHONY JOSEPH BRAIM PT, MPT
Individual
Physical Therapist1275 HIGHWAY 54 W STE 200
FAYETTEVILLE, GA 30214
(770) 460-8609
1952843013 WILLIAM MATTHEW MOWERY PTA
Individual
Physical Therapy Assistant1275 HIGHWAY 54 W STE 200
FAYETTEVILLE, GA 30214
(770) 460-8609
1467888560 DANIEL JOHN VOIGHT PT
Individual
Physical Therapist1275 HIGHWAY 54 W STE 200
FAYETTEVILLE, GA 30214
(770) 460-8609
1609283225 MATTHEW WATSON PT
Individual
Physical Therapist1275 HIGHWAY 54 W STE 200
FAYETTEVILLE, GA 30214
(770) 460-8609
1457686917 AARON H HONEYCUTT PT, DPT
Individual
Physical Therapist1275 HIGHWAY 54 W SUITE 200
FAYETTEVILLE, GA 30214
(770) 460-8609
1013311224 DRAYTON THOMAS PERKINS PT, DPT
Individual
Physical Therapist1275 HIGHWAY 54 W STE 200
FAYETTEVILLE, GA 30214
(770) 460-8609
1609844158 DAVID MIKEL RICHARDSON ATC
Individual
Specialist/Technologist (Athletic Trainer)1275 HIGHWAY 54 W SUITE 201
FAYETTEVILLE, GA 30214
(770) 461-1238

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811084759, enumerated in the NPI registry as an "organization" on October 10, 2006

The provider is located at 1275 Highway 54 W Suite 205 Fayetteville, Ga 30214 and the phone number is (770) 716-9656

This medical organization specializes in Urology with taxonomy code 208800000X

The provider might be accepting Accepts: Railroad Medicare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on October 10, 2006. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.