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NPI Code Detail

MEDICARE: UROLOGY ASSOCIATES PC

MEDICARE: UROLOGY ASSOCIATES PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208800000XUrology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1227466OTHERKYANTHEM BCBS OF KENTUCKY
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
32006687OTHERTNBCBS OF TN
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1043297542
Entity Type Code : Organization
Provider Name (Legal Business Name) : UROLOGY ASSOCIATES PC
Provider Business Mailing Address
First Line : PO BOX 409879
Second Line :
City : ATLANTA
State : GA
Zip : 30384-9879
Country : US
Telephone Number : 615-261-6000
Fax Number : 615-250-6052
Provider Business Practice Location Address
First Line : 2801 CHARLOTTE AVE
Second Line :
City : NASHVILLE
State : TN
Zip : 37209-4035
Country : US
Telephone Number : 615-250-9200
Fax Number : 615-250-9251
Authorized Official
Title or Position : CEO
Name : LESLIE JACOBS
Credential :
Telephone Number : 615-250-9260
Provider Enumeration Date : 12/27/2005
Last Update Date : 02/12/2026

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