COBB FOOT & LEG SURGICAL CENTER, LLC
NPI 1336123264
Clinic/Center - Ambulatory Surgical in Marietta, GA

Q: What is Cobb Foot & Leg Surgical Center, LLC's NPI number?

The NPI number for Cobb Foot & Leg Surgical Center, LLC is 1336123264. It was assigned to this organization in the NPPES registry on December 5, 2005.

Q: What is Cobb Foot & Leg Surgical Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since December 05, 2005CLIA 11D0967852 · Waiver

165 VANN ST NE, MARIETTA, GA 30060(770) 422-9856(770) 984-0303 Get Directions Write a Review

NPPES record last updated: January 5, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Cobb Foot & Leg Surgical Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COBB FOOT & LEG SURGICAL CENTER, LLC (NPI 1336123264) is a healthcare organization registered as an ambulatory surgical in Marietta, Georgia and active in the NPI registry since December 2005. The organization holds a CLIA Waiver certificate valid through November 23, 2027 and lists Glyn E Lewis, President, as its authorized official.

NPPES Registry Identity

NPI1336123264

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameCOBB FOOT & LEG SURGICAL CENTER, LLC

Location Address165 VANN ST NEMarietta, GA 30060-7249

Mailing Address165 Vann St NeMarietta, GA 30060-7249 · (770) 422-9856 · Fax (770) 984-0303

Phone(770) 422-9856

Fax(770) 984-0303

Organization SubpartNo

Authorized OfficialGlyn E LewisPresident · (770) 422-9856

Enumeration DateDecember 5, 2005

Last NPPES UpdateJanuary 5, 2012

✔ NPI 1336123264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

165 VANN ST NE, Marietta, GA 30060

Open in Google Maps ↗

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D0967852

Cobb Foot & Leg Surgery Center · Marietta, GA

Active · expires Nov 23, 2027

CLIA Number11D0967852

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateNovember 24, 2025

Certificate Expiration DateNovember 23, 2027

Laboratory DirectorMatthew Ward

Laboratory Phone(770) 422-9856

Laboratory LocationCobb Foot & Leg Surgery Center165 Vann Street, Marietta, GA 30060

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Correction of toe joint deformity 28285

Correction of toe joint deformity is a procedure to fix misshapen toe joints. This can involve realigning the bones, removing bone or tissue, or implanting devices to improve joint function. It can help reduce pain and improve mobility.

33 services18 patients

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARIETTA PODIATRY GROUP

Durable Medical Equipment & Medical Supplies