COBB OUTPATIENT DETOX, LLC
NPI 1871276105
Clinic/Center - Rehabilitation, Substance Use Disorder in Marietta, GA

Active since August 11, 2023CLIA 11D2297664 · Waiver
811 LIVINGSTON CT SE STE B, MARIETTA, GA 30067(678) 439-6441(470) 857-8728 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 11, 2025, Feb 11, 2025, Aug 11, 2023 (3 updates tracked since 2023).

About Cobb Outpatient Detox, Llc NPPES

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

COBB OUTPATIENT DETOX, LLC (NPI 1871276105), doing business as Metro Atlanta Outpatient Detox, is a healthcare organization registered as a rehabilitation, substance use disorder in Marietta, Georgia and active in the NPI registry since August 2023. The organization holds a CLIA Waiver certificate valid through January 18, 2028, maintains a secondary practice location in Atlanta, and lists Gregory Chancy, Manager, as its authorized official.

NPPES Registry Identity

NPI1871276105
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameCOBB OUTPATIENT DETOX, LLC
Location Address811 LIVINGSTON CT SE STE BMarietta, GA 30067-8958
Mailing Address811 Livingston Ct Se Ste BMarietta, GA 30067-8958 · (678) 439-6441 · Fax (470) 857-8728
Fax(470) 857-8728
Organization SubpartNo
Authorized OfficialGregory ChancyManager · (470) 222-1219
Enumeration DateAugust 11, 2023
Last NPPES UpdateAugust 11, 20253 updates tracked since enumeration
NPPES CertifiedAugust 11, 2025
NPI 1871276105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
811 LIVINGSTON CT SE STE B, Marietta, GA 30067

Other Names 2

Doing Business AsMetro Atlanta Outpatient Detox
Other NameCobb Outpatient Detox, Llc

Secondary Practice Location 1

Location 12700 Northeast Expy NE Ste C650Atlanta, GA 30345-1899 · Phone (859) 304-4047 · Fax (470) 227-8522

Accepted Insurance

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 11D2297664

Cobb Outpatient Detox · Marietta, GA
Active · expires Jan 18, 2028
CLIA Number11D2297664
Laboratory TypeOutpatient Detox
Certificate Effective DateJanuary 19, 2026
Certificate Expiration DateJanuary 18, 2028
Laboratory DirectorShariff Martin
Laboratory Phone(470) 289-9400
Laboratory LocationCobb Outpatient Detox811 Livingston Court, Suite B, Marietta, GA 30067
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cobb Outpatient Detox, LLC's NPI number?

The NPI number for Cobb Outpatient Detox, LLC is 1871276105. It was assigned to this organization in the NPPES registry on August 11, 2023. The provider is doing business as Metro Atlanta Outpatient Detox.

Where is Cobb Outpatient Detox, LLC located?

Cobb Outpatient Detox, LLC is located at 811 Livingston Ct SE Ste B, Marietta, GA 30067. The listed phone number is (678) 439-6441.

What is Cobb Outpatient Detox, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Does Cobb Outpatient Detox, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2297664) is associated with this NPI, valid through January 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Cobb Outpatient Detox, LLC accept?

Health plans from Alliant Health Plans, Inc. list Cobb Outpatient Detox, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cobb Outpatient Detox, LLC was last updated on August 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.