Provider Type Icon

ADVANCED GYNECOLOGY PC NPI 1093296824


NPI Information

NPI: 1093296824
Provider Name: ADVANCED GYNECOLOGY PC
Classification: Obstetrics & Gynecology - 207VF0040X
Entity Type: Organization

Specialization: Female Pelvic Medicine and Reconstructive Surgery

CLIA Number: 11D2150689

Address:
1357 OCONEE CONNECTOR
ATHENS, GA
ZIP 30606
Phone: (678) 344-8900
Get Directions

ADVANCED GYNECOLOGY PC is a female pelvic medicine and reconstructive surgery obstetrics gynecology in Athens, GA. The provider is a subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. ADVANCED GYNECOLOGY PC NPI is 1093296824. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1357 OCONEE CONNECTOR
ATHENS, GA
ZIP 30606
Phone: (678) 344-8900

The provider's authorized official is Robert B Raybon .
The authorized official title is Owner and has the following contact phone number (678) 344-8900.

The CLIA number assigned to this NPI record is 11D2150689 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/29/2018 and was last updated on 10/16/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207VF0040XObstetrics & GynecologyFemale Pelvic Medicine and Reconstructive SurgeryGEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.