ADVANCED GYNECOLOGY SPECIALISTS OF AUGUSTA
NPI 1619110574
Obstetrics & Gynecology - Gynecology in Evans, GA

Active since April 08, 2009CLIA 11D1098764 · Waiver
7013 EVANS TOWN CENTER BLVD, SUITE 101, EVANS, GA 30809(706) 922-4545 Get Directions Write a Review

NPPES record last updated: April 8, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1619110574
Entity TypeOrganization
Primary Taxonomy207VG0400X
Legal Business NameADVANCED GYNECOLOGY SPECIALISTS OF AUGUSTA
Location Address7013 EVANS TOWN CENTER BLVD, SUITE 101Evans, GA 30809-5117
Mailing Address7013 Evans Town Center Blvd, Suite 101Evans, GA 30809-5117 · (706) 922-4545
Organization SubpartNo
Authorized OfficialPaul M ThaxtonMedical Director · (706) 922-4545
Enumeration DateApril 8, 2009
NPI 1619110574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License Licensed in GA · 16291
Definition

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee

7013 EVANS TOWN CENTER BLVD, Evans, GA 30809

Other Identifiers 1

Medicare UPIND30996GA

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 11D1098764

Advanced Gynecology Specialists Of Augusta · Evans, GA
Active · expires Apr 27, 2027
CLIA Number11D1098764
Laboratory TypePhysician Office
Certificate Effective DateApril 28, 2025
Certificate Expiration DateApril 27, 2027
Laboratory DirectorPaul M. Thaxton
Laboratory Phone(706) 922-4545
Laboratory LocationAdvanced Gynecology Specialists Of Augusta7013 Evans Town Center Boulevard Suite 101, Evans, GA 30809
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 11

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

Physical Therapist
7013 EVANS TOWN CENTER BLVD, SUITE 201
EVANS, GA 30809
Mechanotherapist
7013 EVANS TOWN CENTER BLVD, SUITE 104
EVANS, GA 30809
Speech-Language Pathologist
7013 EVANS TOWN CENTER BLVD, SUITE 201
EVANS, GA 30809
Physical Therapist
7013 EVANS TOWN CENTER BLVD, SUITE 201
EVANS, GA 30809
Occupational Therapist
7013 EVANS TOWN CENTER BLVD, SUITE 201
EVANS, GA 30809
Obstetrics & Gynecology
7013 EVANS TOWN CENTER BLVD, SUITE 101
EVANS, GA 30809
Mechanotherapist
7013 EVANS TOWN CENTER BLVD, SUITE 201
EVANS, GA 30809
Massage Therapist
7013 EVANS TOWN CENTER BLVD
EVANS, GA 30809

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 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.

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 with the weekly NPPES data releases published by CMS.