ADVANCED GYNECOLOGY PC


Address: 1357 Oconee Connector, Athens, GA 30606
Phone: 6783448900

ADVANCED GYNECOLOGY PC (NPI# 1093296824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093296824
Entity Type Organization
Organization Name ADVANCED GYNECOLOGY PC
Practice Address 1357 Oconee Connector
Athens
GA 30606
Mailing Address 1561 Janmar Rd
Snellville
GA 30078-5639
Practice Telephone 6783448900
Mailing Telephone 6783448900
Enumeration Date 2018-08-29
Last Update Date 2018-10-16
Authorized Official Name ROBERT B RAYBON (OWNER)
Authorized Official Telephone 6783448900
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207VF0040X Obstetrics & Gynecology
Specialization: Female Pelvic Medicine and Reconstructive Surgery
GA Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1205472362 Advanced Gynecology PC Obstetrics & Gynecology 1800 Peachtree St Nw Ste 660, Atlanta, GA 30309-2522 2019-11-25
1831659440 Advanced Gynecology PC Obstetrics & Gynecology 11660 Alpharetta Hwy Ste 710, Roswell, GA 30076-4916 2019-03-20

Office Location

Street Address 1357 OCONEE CONNECTOR
City ATHENS
State GA
Zip Code 30606

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093758872 Christine Ann Ostroski Physician Assistant 1357 Oconee Connector, Athens, GA 30606-3060 2006-06-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942816962 Kofi Darkwa Seffah Student in an Organized Health Care Education/Training Program 1199 Prince Ave #70, 1270 Prince Ave Suite 201, Athens, GA 30606 2020-09-16
1831712363 Rebecca John Licensed Practical Nurse 240 Mitchel Bridge Road, Athens, GA 30606 2020-05-19
1497375612 Alfred Ka-shing Wong Student in an Organized Health Care Education/Training Program 1270 Prince Ave Suite 201, Athens, GA 30606 2020-04-17
1881223956 Lauren Fesperman Nurse Practitioner 242 King Ave Ste 130, Athens, GA 30606 2020-04-02
1255966081 Westminster Presbyterian Homes, Inc. Skilled Nursing Facility 1400 Live Oak Ln, Building 100, Athens, GA 30606 2020-03-12
1255981700 Carol Cameron Cready-pyle Social Worker 1551 Jennings Mill Pkwy Ste 1700, Athens, GA 30606 2019-09-17
1013576016 Lauren Gruendling Nurse Practitioner 242 King Avenue, Suite 210, Athens, GA 30606 2019-06-12
1760045223 Dominic Ofosu Amakye Student in an Organized Health Care Education/Training Program 1270 Prince Avenue Suite 201, Athens, GA 30606 2019-04-19
1740740422 Juan G Salazar Castillo Student in an Organized Health Care Education/Training Program Community Internal Medicine of Athens, 1500 Oglethorpe Ave Suite 200d, Athens, GA 30606 2019-03-20
1750869020 Jennifer Emily Chapman Physical Therapist 1021 Parkway Blvd Ste 101, Athens, GA 30606 2018-07-30
Find all providers in zip 30606

Taxonomy Information

Taxonomy Code 207VF0040X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology
Specialization Female Pelvic Medicine and Reconstructive Surgery

Taxonomy Definition

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.
Notes: Source: American Board of Medical Specialties, 2011. [1/1/2012: new] Resources: www.abms.org

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1982108098 Bamp Clinics Georgia, LLC Obstetrics & Gynecology 3405 Dallas Hwy Sw Ste 200, Marietta, GA 30064-6426 2018-03-22
1447418843 Joye Katrese Lowman Obstetrics & Gynecology 2001 Peachtree Rd Ne Ste 670, Atlanta, GA 30309-1632 2008-06-02
1912936758 Folusho A. Tugbiyele Obstetrics & Gynecology 11660 Alpharetta Hwy Ste 710, Roswell, GA 30076-4916 2006-07-02
1174154421 Southeastern Urogynecology and Pelvic Surgery LLC Obstetrics & Gynecology 115 31st Ave Se, Moultrie, GA 31768-6771 2020-01-27
1205472362 Advanced Gynecology PC Obstetrics & Gynecology 1800 Peachtree St Nw Ste 660, Atlanta, GA 30309-2522 2019-11-25
1518512953 Buckhead Urogynecology Obstetrics & Gynecology 2001 Peachtree Rd Ne Ste 670, Atlanta, GA 30309-1632 2019-08-02
1831659440 Advanced Gynecology PC Obstetrics & Gynecology 11660 Alpharetta Hwy Ste 710, Roswell, GA 30076-4916 2019-03-20
1013385467 Kenny R Sinervo Md Obstetrics & Gynecology 1140 Hammond Dr, Bldg F S-6220, Atlanta, GA 30328-5338 2015-09-02
1245577048 Effingham Hospital, Inc. Obstetrics & Gynecology 1451 Highway 21 S Ste H, Springfield, GA 31329-5244 2013-01-14
1528328556 David Alan Lovejoy Jr. Obstetrics & Gynecology 682 Hemlock St Ste 210, Macon, GA 31201-8314 2012-05-23
Find all providers with the same taxonomy

Competitor

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City ATHENS
Zip Code 30606

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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