COBB PHYSICIAN GROUP, P.C. - NPI 1417095381 - Internal Medicine in Austell, GA

Q: What is Cobb Physician Group, P.C.'s NPI number?

The NPI number for Cobb Physician Group, P.C. is 1417095381. It was assigned to this organization in the NPPES registry on February 2, 2007.

Q: What is Cobb Physician Group, P.C.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

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About Cobb Physician Group, P.c. NPPES

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

COBB PHYSICIAN GROUP, P.C. (NPI 1417095381) is a healthcare organization registered as an internal medicine in Austell, Georgia and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through March 9, 2027 and lists Jose M Figueroa, President, as its authorized official.

NPPES Registry Identity

NPI1417095381

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameCOBB PHYSICIAN GROUP, P.C.

Location Address4444 AUSTELL RD, SUITE 100Austell, GA 30106-1844

Mailing Address4444 Austell Road, Suite 100Austell, GA 30106 · (770) 948-8031 · Fax (770) 948-7220

Phone(770) 948-8031

Fax(770) 948-7220

Organization SubpartNo

Authorized OfficialJose M FigueroaPresident · (770) 948-8031

Enumeration DateFebruary 2, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1417095381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in GA · C26265

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

4444 AUSTELL RD, Austell, GA 30106

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 11D0871544

Cobb Physician Group PC · Austell, GA

Active · expires Mar 9, 2027

CLIA Number11D0871544

Laboratory TypePhysician Office

Certificate Effective DateMarch 10, 2025

Certificate Expiration DateMarch 9, 2027

Laboratory DirectorJose M. Figueroa

Laboratory Phone(770) 948-8031

Laboratory LocationCobb Physician Group PC4444 Austell Rd, Suite 100, Austell, GA 30106

CLIA data matches this NPI record on: Address Name Phone

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

Other Providers at the Same Location NPPES 11

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

ASHA NANDINI SASIMANGALAM MD

Internal Medicine (Nephrology)