ADVANCED GYNECOLOGY PC – NPI #1093296824
Obstetrics & Gynecology

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.

Health Care Provider Taxonomy Code for Obstetrics & Gynecology

ADVANCED GYNECOLOGY PC is a provider located in WATKINSVILLE, GA. NPPES has assigned the NPI number 1093296824 to ADVANCED GYNECOLOGY PC on August 29, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207VF0040X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Female Pelvic Medicine and Reconstructive Surgery

The NPI profile was last updated on Feb 19, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ADVANCED GYNECOLOGY PC below.

NPI Profile for
ADVANCED GYNECOLOGY PC

NPI Number
1093296824
Enumeration Date

(about 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ADVANCED GYNECOLOGY PC
Primary location
1357 OCONEE CONNECTOR
ATTENTION CREDENTIALING BILLING DEPARTMENT
WATKINSVILLE, GA 30677-7311
Phone: (248) 988-3550 Fax: (866) 635-3395
Mailing address
1800 PEACHTREE ST NE SUITE 700
ATTENTION CREDENTIALING BILLING DEPARTMENT
ATLANTA, GA 30309
Phone: Fax:
Organization Subpart
No
Authorized Official
ROBERT RAYBON
OWNER
Phone: (678) 251-9920
Updated
Certification Date
Feb 19, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207VF0040X
- Obstetrics & Gynecology / Female Pelvic Medicine and Reconstructive Surgery (Primary)		 GA

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.