GOOD SAMARITAN HEALTH CENTER OF COBB
NPI 1881923126
Clinic/Center - Federally Qualified Health Center (FQHC) in Marietta, GA

Active since December 16, 2009
1605 ROBERTA DR SW, MARIETTA, GA 30008(404) 937-3850(770) 419-3121 Get Directions Write a Review

NPPES record last updated: September 23, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 23, 2022, Mar 28, 2018 (2 updates tracked since 2018).

About Good Samaritan Health Center Of Cobb NPPES

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

GOOD SAMARITAN HEALTH CENTER OF COBB (NPI 1881923126) is a healthcare organization registered as a federally qualified health center (fqhc) in Marietta, Georgia and active in the NPI registry since December 2009. The organization lists Rory Mathisen, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1881923126
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameGOOD SAMARITAN HEALTH CENTER OF COBB
Location Address1605 ROBERTA DR SWMarietta, GA 30008-3855
Mailing Address1605 Roberta Dr SwMarietta, GA 30008-3855 · (770) 419-3120 · Fax (770) 419-3121
Fax(770) 419-3121
Organization SubpartNo
Authorized OfficialRory MathisenDirector Of Operations · (251) 751-2021
Enumeration DateDecember 16, 2009
Last NPPES UpdateSeptember 23, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2022
✔ NPI 1881923126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedVoluntary or CharitableTaxonomy 251V00000X · License 054389 (GA)
1605 ROBERTA DR SW, Marietta, GA 30008

Other Identifiers 5

Other202G703251Medicare Part B
Medicaid01000654GA
Other08BBRXNGA · Medicare
Medicaid003151808AGA
Other111043GA · Medicare Part A Ptan

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Good Samaritan Health Center Of Cobb is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

14

Medicare enrollment records show 14 clinicians reassign Medicare billing to Good Samaritan Health Center Of Cobb, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 9 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 6

Family Practice6
Cardiovascular Disease (Cardiology)2
Dentist2
Internal Medicine2
Emergency Medicine1
Nurse Practitioner1

Clinicians, nearest first (14)

Family Practice
NPI 1912458456
1605 ROBERTA DR SW
Marietta, GA 30008
(770) 419-3120
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1740285956
1605 ROBERTA DR SW
Marietta, GA 30008
(770) 419-3120
✔ PECOSSame address
Dentist
NPI 1255984324
1605 ROBERTA DR SW
Marietta, GA 30008
(770) 419-3120
✔ PECOSSame address
Family Practice
NPI 1740454875
1605 ROBERTA DR SW
Marietta, GA 30008
(770) 419-3120
✔ PECOSSame address
Nurse Practitioner
NPI 1275279226
1605 ROBERTA DR SW
Marietta, GA 30008
(559) 930-8504
✔ PECOSSame address
Family Practice
NPI 1376004259
1605 ROBERTA DR SW
Marietta, GA 30008
(770) 419-3120
✔ PECOSSame address
Cardiovascular Disease (Cardiology)
NPI 1134181472
55 WHITCHER ST NE SUITE 350
Marietta, GA 30060
(770) 424-6893
✔ PECOS3.7 mi
Internal Medicine
NPI 1861021255
677 CHURCH STREET ATTN: GME
Marietta, GA 30060
(770) 793-5186
✔ PECOS✔ Accepts Medicare3.8 mi
Family Practice
NPI 1508928821
4800 OLDE TOWNE PKWY STE 320
Marietta, GA 30068
(678) 341-6370
✔ PECOS✔ Accepts Medicare9.1 mi
Family Practice
NPI 1417965062
2140 PEACHTREE RD NW STE 232
Atlanta, GA 30309
(404) 231-4431
✔ PECOS12 mi
Family Practice
NPI 1245734367
3699 CASCADE RD SW STE B2
Atlanta, GA 30331
(404) 691-7006
✔ PECOS✔ Accepts Medicare13 mi
Dentist
NPI 1194883777
1178 GRIMES BRIDGE RD STE 100
Roswell, GA 30075
(770) 992-7550
✔ PECOS15 mi
Internal Medicine
NPI 1861596231
20 CLAIBORNE TRL
Newnan, GA 30263
(404) 388-1017
✔ PECOS37 mi
Emergency Medicine
NPI 1588694988
101 SIVLEY RD SW
Huntsville, AL 35801
(256) 265-9889
✔ PECOS✔ Accepts Medicare128 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Good Samaritan Health Center Of Cobb's NPI number?

The NPI number for Good Samaritan Health Center Of Cobb is 1881923126. It was assigned to this organization in the NPPES registry on December 16, 2009.

Where is Good Samaritan Health Center Of Cobb located?

Good Samaritan Health Center Of Cobb is located at 1605 Roberta Dr SW, Marietta, GA 30008. The listed phone number is (404) 937-3850.

What is Good Samaritan Health Center Of Cobb's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Good Samaritan Health Center Of Cobb enrolled in Medicare?

Yes. Good Samaritan Health Center Of Cobb is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Good Samaritan Health Center Of Cobb?

According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 6 Medicare specialties reassign their Medicare billing to Good Samaritan Health Center Of Cobb. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (6), Cardiovascular Disease (Cardiology) (2) and Dentist (2). Of these, 6 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Good Samaritan Health Center Of Cobb accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Good Samaritan Health Center Of Cobb 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 Good Samaritan Health Center Of Cobb was last updated on September 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.