ADVANCED GYNECOLOGY, PC — NPI 1588404446 (Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor) in CONYERS, GA)

CMS-1500 Box 24J / 33a • NPI

1588404446

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

207VF0040X (CMS 16)

Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor)

Box 32 Service Location & ZIP+4

1366 WELLBROOK CIR NE STE B, CONYERS, GA, 30012-3872

✓ 9-Digit EDI 837 ZIP+4 (30012-3872)

Practice Phone & Referral Fax

(678) 344-8900

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1588404446 (ADVANCED GYNECOLOGY, PC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1588404446` (NPI-2 Organization / Facility)
Provider / Legal Name	ADVANCED GYNECOLOGY, PC
Plain-English Specialty	Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor) NUCC Code: `207VF0040X` (Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery)
Certifying / Licensing Body	American Board of Obstetrics and Gynecology (ABOG)
Practice Location Address	1366 WELLBROOK CIR NE STE B, CONYERS, GA, 30012-3872
Practice Telephone / Fax	Tel: (678) 344-8900
Administrative Mailing Address	1551 JANMAR RD, SNELLVILLE, GA, 30078-5606
Enumeration & Last Sync	Enumerated: 2024-05-29 \| CMS Record Updated: 2024-05-29
Authorized Official	ROBERT RAYBON (MD)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1366 WELLBROOK CIR NE STE B, CONYERS, GA, 30012-3872

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Plain-English Taxonomy & CMS Crosswalk (207VF0040X)

What Does Taxonomy Code 207VF0040X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207VF0040X translates to:
"Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 16 (Physician/Obstetrics & Gynecology)
Certifying / Accrediting Authority: American Board of Obstetrics and Gynecology (ABOG)
Clinical Scope: Pregnancy confirmation and prenatal care, Pap smears and HPV vaccination, menstrual irregularities, pelvic pain, PCOS, or menopause management.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ADVANCED GYNECOLOGY, PC)

Typical CPT / Diagnostic Procedures:

Comprehensive Antenatal Care, Fetal Ultrasound & Labor/Delivery
Cervical Cytology (Pap Smear), HPV Co-Testing & Colposcopy
Pelvic Ultrasound & Minimally Invasive Laparoscopic Hysterectomy/Myomectomy

Common Therapeutic Classes:

Prenatal Folic Acid, Iron & Progesterone Supplementation
Combined Oral Contraceptives, Levonorgestrel IUDs & Hormone Therapy
Fluconazole, Metronidazole & Pregnancy-Safe Beta-Lactam Antibiotics (Ampicillin)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`207VF0040X` — Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery Plain English: Board-Certified Obstetrician & Gynecologist (Women's Health & Pregnancy Doctor)	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ADVANCED GYNECOLOGY, PC (NPI #1588404446)