ADVANCED GYNECOLOGY PC
NPI 1831659440
Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery in Roswell, GA

Active since March 20, 2019CLIA 11D2164259 · Waiver
11660 ALPHARETTA HWY STE 710, ROSWELL, GA 30076(678) 344-8900 Get Directions Write a Review

NPPES record last updated: May 11, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 11, 2023, Sep 12, 2022, Mar 20, 2019 (3 updates tracked since 2019).

About Advanced Gynecology Pc NPPES

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

ADVANCED GYNECOLOGY PC (NPI 1831659440) is a healthcare organization registered as an urogynecology and reconstructive pelvic surgery in Roswell, Georgia and active in the NPI registry since March 2019. The organization holds a CLIA Waiver certificate valid through March 31, 2027 and lists Robert Brian Raybon, Owner, as its authorized official.

NPPES Registry Identity

NPI1831659440
Entity TypeOrganization
Primary Taxonomy207VF0040X
Legal Business NameADVANCED GYNECOLOGY PC
Location Address11660 ALPHARETTA HWY STE 710Roswell, GA 30076-4916
Mailing Address1551 Janmar RdSnellville, GA 30078-5606 · (678) 344-8900
Organization SubpartNo
Authorized OfficialRobert Brian RaybonOwner · (706) 282-7676
Enumeration DateMarch 20, 2019
Last NPPES UpdateMay 11, 20233 updates tracked since enumeration
NPPES CertifiedMay 11, 2023
✔ NPI 1831659440 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.
11660 ALPHARETTA HWY STE 710, Roswell, GA 30076

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

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 Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

65

Medicare enrollment records show 65 clinicians reassign Medicare billing to Advanced Gynecology PC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 8 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 3

Certified Registered Nurse Anesthetist (CRNA)52
Obstetrics/Gynecology7
Nurse Practitioner6

Nearest to this location (20)

See all 65
Obstetrics/Gynecology
NPI 1619310984
11660 ALPHARETTA HWY STE 710
Roswell, GA 30076
(678) 235-9168
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1194081422
11660 ALPHARETTA HWY STE 710
Roswell, GA 30076
(678) 344-8900
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1689267437
11660 ALPHARETTA HWY STE 700
Roswell, GA 30076
(404) 495-5394
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1194184762
3000 HOSPITAL BLVD
Roswell, GA 30076
(423) 463-4911
0.3 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1982047106
3000 HOSPITAL BLVD
Roswell, GA 30076
(800) 394-4445
✔ Accepts Medicare0.3 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1841886504
3000 HOSPITAL BLVD
Roswell, GA 30076
(770) 751-2500
✔ Accepts Medicare0.3 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1528691219
2655 NORTHWINDS PKWY
Alpharetta, GA 30009
(770) 643-5619
2.7 mi
Nurse Practitioner
NPI 1578632808
10730 MEDLOCK BRIDGE RD STE 110
Johns Creek, GA 30097
(678) 344-8900
✔ PECOS8.2 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1326311275
1000 JOHNSON FERRY RD NE
Atlanta, GA 30342
(770) 645-9181
✔ Accepts Medicare11 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1508814658
1000 JOHNSON FERRY RD
Atlanta, GA 30342
(770) 645-9181
✔ Accepts Medicare11 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1386920700
229 STONE PARK DR
Woodstock, GA 30188
(770) 617-0384
11 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1093214108
1200 NORTHSIDE FORSYTH DR
Cumming, GA 30041
(404) 851-8917
13 mi
Obstetrics/Gynecology
NPI 1225329899
699 CHURCH ST NE STE 230
Marietta, GA 30060
(770) 590-4175
✔ PECOS✔ Accepts Medicare15 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1588601363
1455 MONTREAL RD
Tucker, GA 30084
(865) 985-7253
✔ Accepts Medicare17 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1790899201
1968 PEACHTREE RD NW
Atlanta, GA 30309
(404) 351-1745
✔ Accepts Medicare18 mi
Obstetrics/Gynecology
NPI 1487049565
1800 PEACHTREE ST NW STE 700
Atlanta, GA 30309
(678) 344-8900
✔ PECOS✔ Accepts Medicare18 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1073865945
1112 ZIMMER DR NE
Atlanta, GA 30306
(843) 607-3980
19 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1689341182
1364 CLIFTON RD NE
Atlanta, GA 30322
(404) 778-3900
✔ Accepts Medicare19 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1295158541
1000 MEDICAL CENTER BLVD
Lawrenceville, GA 30046
(770) 277-3056
19 mi
Obstetrics/Gynecology
NPI 1912936758
595 HURRICANE SHOALS RD NW STE 301
Lawrenceville, GA 30046
(470) 325-1280
✔ PECOS✔ Accepts Medicare19 mi
See all 65 clinicians

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 11D2164259

Advanced Gynecology-Alpharetta · Roswell, GA
Active · expires Mar 31, 2027
CLIA Number11D2164259
Laboratory TypePhysician Office
Certificate Effective DateApril 1, 2025
Certificate Expiration DateMarch 31, 2027
Laboratory DirectorAlexcis T. Ford
Laboratory Phone(470) 579-5600
Laboratory LocationAdvanced Gynecology-Alpharetta11660 Alpharetta Highway, Suite 710, Roswell, GA 30076
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 1831659440. It was assigned to this organization in the NPPES registry on March 20, 2019.

Where is Advanced Gynecology PC located?

Advanced Gynecology PC is located at 11660 Alpharetta Hwy Ste 710, Roswell, GA 30076. 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.

Is Advanced Gynecology PC enrolled in Medicare?

Yes. Advanced Gynecology PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Gynecology PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 65 clinicians in 3 Medicare specialties reassign their Medicare billing to Advanced Gynecology PC. 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. The largest specialties are Certified Registered Nurse Anesthetist (CRNA) (52), Obstetrics/Gynecology (7) and Nurse Practitioner (6). Of these, 3 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Advanced Gynecology PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2164259) is associated with this NPI, valid through March 31, 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.