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ADVANCED GYNECOLOGY PC
NPI 1063095081
Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery in Atlanta, GA

Active since April 29, 2021CLIA 11D2229216 · Waiver
1800 PEACHTREE ST NW STE 700, ATLANTA, GA 30309(678) 344-8900 Get Directions Write a Review

NPPES record last updated: May 11, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 11, 2023, Sep 12, 2022, Apr 29, 2021 (3 updates tracked since 2021).

About Advanced Gynecology Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVANCED GYNECOLOGY PC (NPI 1063095081) is a healthcare organization registered as an urogynecology and reconstructive pelvic surgery in Atlanta, Georgia and active in the NPI registry since April 2021. The organization holds a CLIA Waiver certificate valid through July 7, 2027 and lists Robert Brian Raybon, President, as its authorized official.

NPPES Registry Identity

NPI1063095081
Entity TypeOrganization
Primary Taxonomy207VF0040X
Legal Business NameADVANCED GYNECOLOGY PC
Location Address1800 PEACHTREE ST NW STE 700Atlanta, GA 30309-2511
Mailing Address1551 Janmar RdSnellville, GA 30078-5606 · (678) 344-8900
Phone(678) 344-8900
Organization SubpartNo
Authorized OfficialRobert Brian RaybonPresident · (706) 282-7676
Enumeration DateApril 29, 2021
Last NPPES UpdateMay 11, 20233 updates tracked since enumeration
NPPES CertifiedMay 11, 2023
✔ NPI 1063095081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Urogynecology and Reconstructive Pelvic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207VF0040X
Definition
A subspecialist in Urogynecology and Reconstructive Pelvic 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.
1800 PEACHTREE ST NW STE 700, Atlanta, GA 30309
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2229216

Advanced Gynecology, PC · Atlanta, GA
Active · expires Jul 7, 2027
CLIA Number11D2229216
Laboratory TypePhysician Office
Certificate Effective DateJuly 8, 2025
Certificate Expiration DateJuly 7, 2027
Laboratory DirectorRobert B. Raybon
Laboratory Phone(678) 344-8900
Laboratory LocationAdvanced Gynecology, PC1800 Peachtree Street, NW, Suite 700, Atlanta, GA 30309
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2308016

Advanced Gynecology, PC · Conyers, GA
Expired · Jul 18, 2026
CLIA Number11D2308016
Laboratory TypePhysician Office
Certificate Effective DateJuly 19, 2024
Certificate Expiration DateJuly 18, 2026
Laboratory DirectorLina M. Millan
Laboratory Phone(678) 344-8900
Laboratory LocationAdvanced Gynecology, PC1366 Wellbrook Cir, NE, Ste B, Conyers, GA 30012
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ADVANCED UROLOGY INSTITUTE OF GEORGIA PC
Urology
1800 PEACHTREE ST NW STE 700
ATLANTA, GA 30309
Fulton County (678) 344-8900
NINA DURCHFORT METCALFE M.D., M.S.
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
1800 PEACHTREE ST NW STE 700
ATLANTA, GA 30309
Fulton County (678) 344-8900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Advanced Gynecology PC's NPI number?

The NPI number for Advanced Gynecology PC is 1063095081. It was assigned to this organization in the NPPES registry on April 29, 2021.

Where is Advanced Gynecology PC located?

Advanced Gynecology PC is located at 1800 Peachtree St NW Ste 700, Atlanta, GA 30309. The listed phone number is (678) 344-8900.

What is Advanced Gynecology PC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 207VF0040X.

Does Advanced Gynecology PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2229216) is associated with this NPI, valid through July 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Advanced Gynecology PC accept?

Health plans from Alliant Health Plans, Inc. list Advanced Gynecology PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Advanced Gynecology PC was last updated on May 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.