ADVANCED GYNECOLOGY SPECIALISTS OF AUGUSTA
NPI 1619110574
Obstetrics & Gynecology - Gynecology in Evans, GA
About Advanced Gynecology Specialists Of Augusta NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADVANCED GYNECOLOGY SPECIALISTS OF AUGUSTA (NPI 1619110574) is a healthcare organization registered as a gynecology in Evans, Georgia and active in the NPI registry since April 2009. The organization holds a CLIA Waiver certificate valid through April 27, 2027 and lists Paul M Thaxton, Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Advanced Gynecology Specialists Of Augusta is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Advanced Gynecology Specialists Of Augusta, which bills Medicare for the services this clinician delivers.
Clinician (1)
Evans, GA 30809
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 11D1098764
Advanced Gynecology Specialists Of Augusta · Evans, GAFrequently 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 Specialists Of Augusta's NPI number?
The NPI number for Advanced Gynecology Specialists Of Augusta is 1619110574. It was assigned to this organization in the NPPES registry on April 8, 2009.
Where is Advanced Gynecology Specialists Of Augusta located?
Advanced Gynecology Specialists Of Augusta is located at 7013 Evans Town Center Blvd Suite 101, Evans, GA 30809. The listed phone number is (706) 922-4545.
What is Advanced Gynecology Specialists Of Augusta's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.
Is Advanced Gynecology Specialists Of Augusta enrolled in Medicare?
Yes. Advanced Gynecology Specialists Of Augusta is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Advanced Gynecology Specialists Of Augusta?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Obstetrics/Gynecology) reassigns their Medicare billing to Advanced Gynecology Specialists Of Augusta. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Advanced Gynecology Specialists Of Augusta hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D1098764) is associated with this NPI, valid through April 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Advanced Gynecology Specialists Of Augusta accept?
Health plans from BlueCross BlueShield of South Carolina list Advanced Gynecology Specialists Of Augusta 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 Specialists Of Augusta was last updated on April 8, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Advanced Gynecology Specialists Of Augusta · NPI 1619110574
Gynecology organization in Evans, Georgia. Organization record, active in the CMS NPPES registry since April 8, 2009.
## Identity
- **NPI:** 1619110574 (Entity type: Organization)
- **Enumerated:** April 8, 2009
- **Primary specialty:** Obstetrics & Gynecology - Gynecology · taxonomy 207VG0400X
- **Organization subpart:** No
- **Authorized official:** Paul Thaxton, MEDICAL DIRECTOR
## Practice location
- **Address:** 7013 EVANS TOWN CENTER BLVD, SUITE 101, Evans, GA 30809-5117
- **Phone:** (706) 922-4545
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Obstetrics/Gynecology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 8, 2009
- **Other identifiers:** Medicare UPIN D30996 (GA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1619110574) · Data from the CMS NPPES public registry.