STACEY M COBB M.D.
NPI 1669615332
Pediatrics - Developmental - Behavioral Pediatrics in Columbia, SC

Q: What is Stacey Cobb's NPI number?

The NPI number for Stacey Cobb is 1669615332. It was assigned to this individual provider in the NPPES registry on April 10, 2009. The provider is also known as Stacey M Streeter.

Q: What is Stacey Cobb's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Developmental - Behavioral Pediatrics, with taxonomy code 2080P0006X.

Q: When was this NPI record last updated?

The NPPES record for Stacey Cobb was last updated on March 21, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 10, 2009PECOS Enrolled

9 RICHLAND MEDICAL PARK DR STE 210, COLUMBIA, SC 29203(803) 434-6598(803) 434-1920 Get Directions Write a Review

NPPES record last updated: March 21, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 21, 2018, Mar 23, 2017, Dec 7, 2015 (3 updates tracked since 2015).

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About Stacey M Cobb M.d. NPPES

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

STACEY M COBB M.D. (NPI 1669615332) is an individual developmental - behavioral pediatrics provider in Columbia, South Carolina, licensed in South Carolina (MD 35039) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669615332

Entity TypeIndividualFemale

Primary Taxonomy2080P0006X

Provider Legal NameSTACEY M COBBCredential: M.D.

Location Address9 RICHLAND MEDICAL PARK DR STE 210Columbia, SC 29203-6859

Mailing AddressPo Box 743904Atlanta, GA 30374-3904 · (803) 296-7320 · Fax (803) 296-7330

Phone(803) 434-6598

Fax(803) 434-1920

Sole ProprietorNo

Enumeration DateApril 10, 2009

Last NPPES UpdateMarch 21, 20183 updates tracked since enumeration

✔ NPI 1669615332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Developmental - Behavioral PediatricsAllopathic & Osteopathic Physicians

Taxonomy Code2080P0006X

License✔ Licensed in SC · MD 35039

Definition

A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.

9 RICHLAND MEDICAL PARK DR STE 210, Columbia, SC 29203

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Other Names 1

Former Name (1)Stacey M Streeter

Other Identifiers 1

Medicaid350391SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacey M Cobb M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 14

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

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Psychologist (School)