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COBB MEDICAL CLINIC
NPI 1922553023
Clinic/Center in Austell, GA

Active since August 18, 2016CLIA 11D2103757 · Waiver
2615 E WEST CONNECTOR STE 106, AUSTELL, GA 30106(770) 941-0010(770) 941-0154 Get Directions Write a Review

NPPES record last updated: January 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 20, 2022, Jan 7, 2022, Aug 18, 2016 (3 updates tracked since 2016).

About Cobb Medical Clinic NPPES

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

COBB MEDICAL CLINIC (NPI 1922553023) is a healthcare organization registered as a clinic/center in Austell, Georgia and active in the NPI registry since August 2016. The organization holds a CLIA Waiver certificate valid through October 19, 2027 and lists Chandresh B Shah, Owner, as its authorized official.

NPPES Registry Identity

NPI1922553023
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSHREE YAMUNA MAHARANIJI,PC
Location Address2615 E WEST CONNECTOR STE 106Austell, GA 30106-6848
Mailing Address2615 E West Connector Ste 106Austell, GA 30106-6848 · (770) 941-0010 · Fax (770) 941-0154
Phone(770) 941-0010
Fax(770) 941-0154
Organization SubpartNo
Authorized OfficialChandresh B ShahOwner · (770) 941-0010
Enumeration DateAugust 18, 2016
Last NPPES UpdateJanuary 20, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2022
✔ NPI 1922553023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in GA · 038955
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
2615 E WEST CONNECTOR STE 106, Austell, GA 30106
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Other Names 1

Doing Business AsCobb Medical Clinic

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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 11D2103757

Cobb Medical Clinic · Austell, GA
Active · expires Oct 19, 2027
CLIA Number11D2103757
Laboratory TypePhysician Office
Certificate Effective DateOctober 20, 2025
Certificate Expiration DateOctober 19, 2027
Laboratory DirectorShah B. Chandresh
Laboratory Phone(770) 941-0010
Laboratory LocationCobb Medical Clinic2615 East West Connector, Suite 106, 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 4

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

TRUC MY THI DAO PA-C
Physician Assistant
2615 E WEST CONNECTOR STE 106
AUSTELL, GA 30106
Cobb County (770) 941-0010
VANESSA CASTRO
Physician Assistant (Medical)
2615 E WEST CONNECTOR STE 106
AUSTELL, GA 30106
Cobb County (770) 941-0010
ELMAN OTNIEL GONZALES HERNANDEZ PA
Physician Assistant (Medical)
2615 E WEST CONNECTOR STE 106
AUSTELL, GA 30106
Cobb County (770) 941-0010
JOY CHIDINMA EZUMA
Nurse Practitioner
2615 E WEST CONNECTOR STE 106
AUSTELL, GA 30106
Cobb County (770) 941-0010

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 Shree Yamuna Maharaniji,pc's NPI number?

The NPI number for Shree Yamuna Maharaniji,pc is 1922553023. It was assigned to this organization in the NPPES registry on August 18, 2016. The provider is doing business as Cobb Medical Clinic.

Where is Shree Yamuna Maharaniji,pc located?

Shree Yamuna Maharaniji,pc is located at 2615 E West Connector Ste 106, Austell, GA 30106. The listed phone number is (770) 941-0010.

What is Shree Yamuna Maharaniji,pc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Shree Yamuna Maharaniji,pc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2103757) is associated with this NPI, valid through October 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Shree Yamuna Maharaniji,pc accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Shree Yamuna Maharaniji,pc 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 Shree Yamuna Maharaniji,pc was last updated on January 20, 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.