Organization Active NPI

Robert B Raybon Et Al PTR

  • Gynecology Physician
  • Toccoa, GA
National Provider Identifier
1740499946
Registry record updated Jun 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
ROBERT B RAYBON ET AL PTR
Practice address
79 Doyle St
Toccoa, GA 30577-6607
Phone
(706) 282-7676
Fax
(706) 886-7280
NPI assigned
May 22, 2007
Last updated
Jun 9, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2010

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

Authorized official

Name
Mrs. Joann N Raybon
Title
Administrator
Phone
(706) 282-7676

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X GA
Gynecology Physician 207VG0400X GA Primary
Obstetrics Physician 207VX0000X GA

Addresses

Primary practice location

79 Doyle St
Toccoa, GA 30577-6607

Mailing address

PO Box 1033
Toccoa, GA 30577-1417
Phone (706) 282-7676

Other names 1

  • Raybon OB-GYN Other name

National Provider Directory

National Provider Directory

Locations

534 Highway 441 S
Ste A
Clayton, GA 30525
Phone (706) 782-6545

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276041600000",
    "number": "1740499946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1033",
            "city": "TOCCOA",
            "state": "GA",
            "postal_code": "305771417",
            "telephone_number": "706-282-7676",
            "fax_number": "706-886-7280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 DOYLE ST",
            "city": "TOCCOA",
            "state": "GA",
            "postal_code": "305776607",
            "telephone_number": "706-282-7676",
            "fax_number": "706-886-7280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT B RAYBON ET AL PTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2010-06-09",
        "status": "A",
        "authorized_official_last_name": "RAYBON",
        "authorized_official_first_name": "JOANN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "706-282-7676",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "GA",
            "license": null,
            "primary": true
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "GA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Raybon OB-GYN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Toccoa, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.