ADVANCED GYNECOLOGY PC
NPI 1093296824
Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery in Watkinsville, GA

NPI Status: Active since August 29, 2018

Contact Information

1357 OCONEE CONNECTOR
ATTENTION CREDENTIALING BILLING DEPARTMENT
WATKINSVILLE, GA
ZIP 30677
Phone: (248) 988-3550
Fax: (866) 635-3395

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  • Organization
  • Obstetrics & Gynecology
  • Urogynecology and Reconstructive Pelvic ...
  • Accepts Insurance
  • CLIA Number: 11D2169010
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 01-22-2028

About ADVANCED GYNECOLOGY PC

This page provides the complete NPI Profile along with additional information for Advanced Gynecology Pc, a women's health care provider established in Watkinsville, Georgia operating as a Obstetrics & Gynecology, focusing in urogynecology and reconstructive pelvic surgery . The healthcare provider is registered in the NPI registry with number 1093296824 assigned on August 2018. The practitioner's primary taxonomy code is 207VF0040X. The provider is registered as an organization and their NPI record was last updated February 2026. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Robert B Raybon Md (Owner)

NPI
1093296824
Provider Name
ADVANCED GYNECOLOGY PC
Entity Type
Organization
Location Address
1357 OCONEE CONNECTOR ATTENTION CREDENTIALING BILLING DEPARTMENT WATKINSVILLE, GA 30677
Location Phone
(248) 988-3550
Location Fax
(866) 635-3395
Mailing Address
1800 PEACHTREE ST NE SUITE 700 ATTENTION CREDENTIALING BILLING DEPARTMENT ATLANTA, GA 30309
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-29-2018
Last Update Date
02-19-2026
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Women's health care providers like Advanced Gynecology Pc treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Obstetrics & Gynecology Urogynecology and Reconstructive Pelvic Surgery

Taxonomy Code
207VF0040X
Type
Allopathic & Osteopathic Physicians
License State
GA
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • SoloCare Bronze EPO $8500 DED HSA 10004 - EPO
  • SoloCare Exp Bronze EPO $9500 DED 10015 - EPO
  • SoloCare Gold EPO $1500 DED 10010 - EPO
  • SoloCare Silver EPO $5000 DED 10014 - EPO
  • SoloCare Silver EPO $6500 DED 10013 - EPO
  • SoloCare Standard Exp Bronze EPO $7500 DED 10008 - EPO
  • SoloCare Standard Gold EPO $2000 DED 10006 - EPO
  • SoloCare Standard Platinum EPO $0 DED 10005 - EPO
  • SoloCare Standard Silver EPO $6000 DED 10007 - EPO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Standard Expanded Bronze - HMO
  • Standard Gold - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Clarity Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Clear Silver with $0 Insulin Options - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Gold with Atrium Health - HMO
  • Complete Gold with Atrium Health + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Bronze with Atrium Health - HMO
  • Elite Bronze with Atrium Health + Vision + Adult Dental - HMO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options - HMO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ROBERT B RAYBON MD

Authorized Official Title
OWNER
Authorized Official Phone
(678) 251-9920

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
11D2169010
Facility Type
Physician Office
Certificate Effective Date
January 23, 2026
Certificate Expiration Date
January 22, 2028
Laboratory Director
ROBERT B. RAYBON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Advanced Gynecology Pc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1093296824, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
3
Unchanged
Pos 5
2
Doubled → 4
Pos 6
9
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
8
Unchanged
Pos 9
2
Doubled → 4
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 2 → 4 6 → 12 → 3 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 8 + 3 + 4 + 9 + 1 + 2 + 8 + 4 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1093296824.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Clinic/Center (Ambulatory Surgical)
1357 OCONEE CONNECTOR, SUITE 102
WATKINSVILLE, GA 30677
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
1357 OCONEE CONNECTOR
WATKINSVILLE, GA 30677
Obstetrics & Gynecology
1357 OCONEE CONNECTOR
WATKINSVILLE, GA 30677
Nurse Practitioner (Family)
1357 OCONEE CONNECTOR
WATKINSVILLE, GA 30677

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093296824, enumerated as an "organization" on August 29, 2018.

The provider is located at 1357 OCONEE CONNECTOR ATTENTION CREDENTIALING BILLING DEPARTMENT WATKINSVILLE, GA 30677 and the phone number is (248) 988-3550.

Obstetrics & Gynecology with taxonomy code 207VF0040X and a focus in Urogynecology and Reconstructive Pelvic Surgery.

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.