COBBLESTONE SURGERY CENTER, INC.
NPI 1902213432
Clinic/Center - Ambulatory Surgical in Kennesaw, GA

Active since July 16, 2014
3450 ACWORTH DUE WEST RD NW, BLDG. 200, SUITE 100, KENNESAW, GA 30144(770) 794-6643(770) 794-6683 Get Directions Write a Review

NPPES record last updated: July 16, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Cobblestone Surgery Center, Inc. NPPES

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

COBBLESTONE SURGERY CENTER, INC. (NPI 1902213432) is a healthcare organization registered as an ambulatory surgical in Kennesaw, Georgia and active in the NPI registry since July 2014. The organization lists Marcus Crawford, President, as its authorized official.

NPPES Registry Identity

NPI1902213432
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameCOBBLESTONE SURGERY CENTER, INC.
Location Address3450 ACWORTH DUE WEST RD NW, BLDG. 200, SUITE 100Kennesaw, GA 30144-1078
Mailing Address3450 Acworth Due West Rd Nw, Bldg. 200, Suite 100Kennesaw, GA 30144-1078 · (770) 794-6643 · Fax (770) 794-6683
Fax(770) 794-6683
Organization SubpartNo
Authorized OfficialMarcus CrawfordPresident · (770) 794-6643
Enumeration DateJuly 16, 2014
NPI 1902213432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License Licensed in GA · LNRASC2014004
3450 ACWORTH DUE WEST RD NW, Kennesaw, GA 30144

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 11D2081686

Cobblestone Surgery Center · Kennesaw, GA
Expired · Jul 28, 2026
CLIA Number11D2081686
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJuly 29, 2024
Certificate Expiration DateJuly 28, 2026
Laboratory DirectorMarcus H. Crawford
Laboratory Phone(770) 794-6643
Laboratory LocationCobblestone Surgery Center3450 Acworth Due West Rd Bldg 200 Suite 100, Kennesaw, GA 30144
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 17

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

Obstetrics & Gynecology (Gynecology)
3450 ACWORTH DUE WEST RD NW, SUITE 380
KENNESAW, GA 30144
Physical Therapist
3450 ACWORTH DUE WEST RD NW, SUITE 310
KENNESAW, GA 30144
Surgery (Plastic and Reconstructive Surgery)
3450 ACWORTH DUE WEST RD NW, #200
KENNESAW, GA 30144
Clinic/Center (Physical Therapy)
3450 ACWORTH DUE WEST RD NW, SUITE 310
KENNESAW, GA 30144
Podiatrist (Foot & Ankle Surgery)
3450 ACWORTH DUE WEST RD NW, SUITE 320
KENNESAW, GA 30144
Chiropractor
3450 ACWORTH DUE WEST RD NW, STE 330
KENNESAW, GA 30144
Physical Therapist
3450 ACWORTH DUE WEST RD NW, BLDG. 300, SUITE 310
KENNESAW, GA 30144
Physical Therapist
3450 ACWORTH DUE WEST RD NW
KENNESAW, GA 30144

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 Cobblestone Surgery Center, Inc.'s NPI number?

The NPI number for Cobblestone Surgery Center, Inc. is 1902213432. It was assigned to this organization in the NPPES registry on July 16, 2014.

Where is Cobblestone Surgery Center, Inc. located?

Cobblestone Surgery Center, Inc. is located at 3450 Acworth Due West Rd NW Bldg. 200, Suite 100, Kennesaw, GA 30144. The listed phone number is (770) 794-6643.

What is Cobblestone Surgery Center, Inc.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Cobblestone Surgery Center, Inc. was last updated on July 16, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.