ADVANCED GYNECOLOGY PC (NPI# 1205472362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205472362 |
| Entity Type | Organization |
| Organization Name | ADVANCED GYNECOLOGY PC |
| Practice Address |
1800 Peachtree St Nw Ste 660 Atlanta GA 30309-2522 |
| Mailing Address |
1561 Janmar Rd Snellville GA 30078-5639 |
| Practice Telephone | 6783448900 |
| Practice Fax Number | 6786665201 |
| Mailing Telephone | 6783448900 |
| Mailing Fax Number | 6786665201 |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2019-11-25 |
| Authorized Official Name | ROBERT BRIAN RAYBON (OWNER) |
| Authorized Official Telephone | 7062827676 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VF0040X |
Obstetrics & Gynecology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831659440 | Advanced Gynecology PC | Obstetrics & Gynecology | 11660 Alpharetta Hwy Ste 710, Roswell, GA 30076-4916 | 2019-03-20 |
| 1093296824 | Advanced Gynecology PC | Obstetrics & Gynecology | 1357 Oconee Connector, Athens, GA 30606 | 2018-08-29 |
| Street Address |
1800 PEACHTREE ST NW STE 660 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30309-2522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679714356 | Cynthia T Mccaleb Md LLC | Internal Medicine | 1800 Peachtree St Nw Ste 660, Atlanta, GA 30309-2522 | 2009-03-10 |
| 1407365224 | Ascension Wellness Inc | Preferred Provider Organization | 1800 Peachtree St Nw Ste 660, Atlanta, GA 30309-2522 | 2017-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396382354 | Astoria Dentistry LLC | Dentist | 2233 Peachtree Rd. Nw, Suite 300, Atlanta, GA 30309 | 2019-12-09 |
| 1487133740 | S2 Telehealth Technologies, LLC | Psychiatry & Neurology | 915 W Peachtree St Nw Apt 522, Atlanta, GA 30309 | 2018-08-08 |
| 1841782620 | Janie Mardis | Social Worker | 3 Park Ln Ne, Apt H, Atlanta, GA 30309 | 2018-06-06 |
| 1083102842 | Veronica L Bentley | Specialist/Technologist, Other | 1170 Peachtree Street Suite 1200, Atlanta, GA 30309 | 2018-04-27 |
| 1427566363 | Net Medical Corp | Chiropractor | 1100 Spring St Sw, Ste#700, Atlanta, GA 30309 | 2018-01-12 |
| 1871000463 | Mary James (jamie) Johnson | Counselor | 1100 Spring Street, Suite 380, Atlanta, GA 30309 | 2018-01-04 |
| 1306377817 | Aliyah Lamis Scott | Social Worker | 1745 Peachtree Road Ne, Kaiser Permanente Brookwood Medical Office, Atlanta, GA 30309 | 2017-03-26 |
| 1013450774 | Caroline Hallen | Nurse Practitioner | 105 Collier Rd Nw Suite 3040, Atlanta, GA 30309 | 2016-11-29 |
| 1528501723 | Ant-aging Queen | Nutritionist | 1801 Atlanta Medical Clinic, Suite 250, Atlanta, GA 30309 | 2016-11-21 |
| 1790231439 | Nurse 2 Health Home Care LLC | Home Health | 1075 Peachtree Street Ne, Atlanta, GA 30309 | 2016-09-01 |
| Find all providers in zip 30309 | ||||
| Taxonomy Code | 207VF0040X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Female Pelvic Medicine and Reconstructive Surgery |
| A subspecialist in Female Pelvic Medicine and Reconstructive 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. |
| Notes: Source: American Board of Medical Specialties, 2011. [1/1/2012: new] Resources: www.abms.org |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447418843 | Joye Katrese Lowman | Obstetrics & Gynecology | 2001 Peachtree Rd Ne Ste 670, Atlanta, GA 30309-1632 | 2008-06-02 |
| 1518512953 | Buckhead Urogynecology | Obstetrics & Gynecology | 2001 Peachtree Rd Ne Ste 670, Atlanta, GA 30309-1632 | 2019-08-02 |
| 1013385467 | Kenny R Sinervo Md | Obstetrics & Gynecology | 1140 Hammond Dr, Bldg F S-6220, Atlanta, GA 30328-5338 | 2015-09-02 |
| 1205152154 | Jennifer Lanzer | Obstetrics & Gynecology | 1364 Clifton Rd Ne, Atlanta, GA 30322-1059 | 2010-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982108098 | Bamp Clinics Georgia, LLC | Obstetrics & Gynecology | 3405 Dallas Hwy Sw Ste 200, Marietta, GA 30064-6426 | 2018-03-22 |
| 1912936758 | Folusho A. Tugbiyele | Obstetrics & Gynecology | 11660 Alpharetta Hwy Ste 710, Roswell, GA 30076-4916 | 2006-07-02 |
| 1174154421 | Southeastern Urogynecology and Pelvic Surgery LLC | Obstetrics & Gynecology | 115 31st Ave Se, Moultrie, GA 31768-6771 | 2020-01-27 |
| 1831659440 | Advanced Gynecology PC | Obstetrics & Gynecology | 11660 Alpharetta Hwy Ste 710, Roswell, GA 30076-4916 | 2019-03-20 |
| 1093296824 | Advanced Gynecology PC | Obstetrics & Gynecology | 1357 Oconee Connector, Athens, GA 30606 | 2018-08-29 |
| 1245577048 | Effingham Hospital, Inc. | Obstetrics & Gynecology | 1451 Highway 21 S Ste H, Springfield, GA 31329-5244 | 2013-01-14 |
| 1528328556 | David Alan Lovejoy Jr. | Obstetrics & Gynecology | 682 Hemlock St Ste 210, Macon, GA 31201-8314 | 2012-05-23 |
| 1386901288 | Danielle Lynn Taylor | Obstetrics & Gynecology | 3624 J Dewey Gray Cir Ste 308, Augusta, GA 30909 | 2012-04-16 |
| 1043576747 | Judy Y Yeh | Obstetrics & Gynecology | 2701 Meredyth Dr, Albany, GA 31707 | 2012-04-06 |
| 1518093673 | Robert Daniel Moore | Obstetrics & Gynecology | 11975 Morris Road, Suite 140, Alpharetta, GA 30005-4493 | 2007-02-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.