Advanced Gynecology Specialists of Augusta

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

16291 Issued in GA

Legal business name

ADVANCED GYNECOLOGY SPECIALISTS OF AUGUSTA

Practice address

7013 Evans Town Center Blvd
Suite 101
Evans, GA 30809-5117

Phone

(706) 922-4545

NPI assigned

Apr 8, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Paul M Thaxton, M.D.NPI 1679528442

Title

Medical Director

Phone

(706) 922-4545

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paul M Thaxton, M.D.

  • Obstetrics & Gynecology Physician
  • Evans, GA
  • NPI 1679528442
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1239148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239148800000",
    "number": "1619110574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7013 EVANS TOWN CENTER BLVD",
            "address_2": "SUITE 101",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308095117",
            "telephone_number": "706-922-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7013 EVANS TOWN CENTER BLVD",
            "address_2": "SUITE 101",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308095117",
            "telephone_number": "706-922-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED GYNECOLOGY SPECIALISTS OF AUGUSTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-08",
        "last_updated": "2009-04-08",
        "status": "A",
        "authorized_official_last_name": "THAXTON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "706-922-4545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "GA",
            "license": "16291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohamed Adan, PHARMD
• Shavona Addison, BCBA
• Anne-Marie Addleton, APRN
• Adewunmi Abiodun Adeyemi
• Adora's Place, LLC
• Advanced Pain Management, P.C.
• Gitika Aggarwal, MD
• Leslie Alderman, OTR/L
• Mary Kristine Alegre, FNP
• Jennifer Quintanilla Alejandro, LPC

• Gynecology Physician in Evans, GA
• Providers in Evans, GA by specialty
• Gynecology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.