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

Active since August 29, 2018CLIA 11D2169010 · Waiver
1357 OCONEE CONNECTOR, ATTENTION CREDENTIALING BILLING DEPARTMENT, WATKINSVILLE, GA 30677(248) 988-3550(866) 635-3395 Get Directions Write a Review

NPPES record last updated: February 19, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 18, 2025, Apr 26, 2024, May 11, 2023 and 5 more (8 updates tracked since 2018).

About Advanced Gynecology Pc NPPES

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

ADVANCED GYNECOLOGY PC (NPI 1093296824) is a healthcare organization registered as an urogynecology and reconstructive pelvic surgery in Watkinsville, Georgia and active in the NPI registry since August 2018. The organization holds a CLIA Waiver certificate valid through January 22, 2028 and lists Robert B Raybon, Owner, as its authorized official.

NPPES Registry Identity

NPI1093296824
Entity TypeOrganization
Primary Taxonomy207VF0040X
Legal Business NameADVANCED GYNECOLOGY PC
Location Address1357 OCONEE CONNECTOR, ATTENTION CREDENTIALING BILLING DEPARTMENTWatkinsville, GA 30677-7311
Mailing Address1800 Peachtree St Ne Suite 700, Attention Credentialing Billing DepartmentAtlanta, GA 30309
Fax(866) 635-3395
Organization SubpartNo
Authorized OfficialRobert B RaybonOwner · (678) 251-9920
Enumeration DateAugust 29, 2018
Last NPPES UpdateFebruary 19, 20268 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2026
NPI 1093296824 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.

1357 OCONEE CONNECTOR, Watkinsville, GA 30677

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

CLIA Laboratory Certificates CMS CLIA

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 11D2169010

Advanced Gynecology, Pc- Athens · Watkinsville, GA
Active · expires Jan 22, 2028
CLIA Number11D2169010
Laboratory TypePhysician Office
Certificate Effective DateJanuary 23, 2026
Certificate Expiration DateJanuary 22, 2028
Laboratory DirectorRobert B. Raybon
Laboratory Phone(470) 579-5600
Laboratory LocationAdvanced Gynecology, Pc- Athens1357 Oconee Connector, Watkinsville, GA 30677
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

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

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 1093296824. It was assigned to this organization in the NPPES registry on August 29, 2018.

Where is Advanced Gynecology PC located?

Advanced Gynecology PC is located at 1357 Oconee Connector Attention Credentialing Billing Department, Watkinsville, GA 30677. The listed phone number is (248) 988-3550.

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 11D2169010) is associated with this NPI, valid through January 22, 2028. 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., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer 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 February 19, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.