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).
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 |
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 |
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 |
Street Address |
1357 OCONEE CONNECTOR |
City | ATHENS |
State | GA |
Zip Code | 30606 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093758872 | Christine Ann Ostroski | Physician Assistant | 1357 Oconee Connector, Athens, GA 30606-3060 | 2006-06-13 |
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 Code | 207VF0040X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Female Pelvic Medicine and Reconstructive Surgery |
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 |
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 |
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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.