Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Georgia Urology Pediatric LLC

Organization Pediatric Urology Physician · NPI 1821019076

Georgia Urology Pediatric LLC provides Pediatric Urology Physician services in Atlanta, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5445 Meridian Marks Rd NE Ste 420
Atlanta, GA 30342-4763 Not confirmed with CMS for 11 years — call before visiting
Phone: (404) 252-5206
Fax: (404) 252-1268
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Urology Physician (primary) Taxonomy 2088P0231X (GA)

Record details

NPI number1821019076
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationGeorgia Urology, PA
Authorized official Mark Haber — Managing Partner · (678) 284-4049
NPI enumeratedJuly 22, 2006
Last updated in NPPESJanuary 20, 2015
Mailing address1930 Brannan Rd, McDonough, GA 30253-4310

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