EAST COBB NIA LLC (NPI# 1003366147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003366147 |
| Entity Type | Organization |
| Organization Name | EAST COBB NIA LLC |
| Practice Address |
1111 Johnson Ferry Rd Marietta GA 30068-2181 |
| Mailing Address |
1111 Johnson Ferry Rd Marietta GA 30068 |
| Practice Telephone | 7704799999 |
| Mailing Telephone | 7704799999 |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2017-03-08 |
| Authorized Official Name | SARA SEBASTIAN (BILLING/INSURANCE MANAGER) |
| Authorized Official Telephone | 7704799999 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DN013543 | GA | Dental Providers |
| Street Address |
1111 JOHNSON FERRY RD |
| City | MARIETTA |
| State | GA |
| Zip Code | 30068-2181 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831798917 | Barbara Ann Goldschmidt | Pharmacist | 4088 Lower Roswell Rd, Marietta, GA 30068 | 2020-10-20 |
| 1285274480 | Cory Plasker | Chiropractor | 519b Johnson Ferry Road, Suite 350, Marietta, GA 30068 | 2020-01-15 |
| 1952949893 | Dr Amy L Varner LLC | Internal Medicine | 1000 Johnson Ferry Rd Bldg E Ste 200, Marietta, GA 30068 | 2019-12-11 |
| 1417501834 | Cornerstone Hospice and Palliative Care of Georgia, LLC | Hospice Care, Community Based | 1225 Johnson Ferry Rd., Bldg. 100, Suite 160, Marietta, GA 30068 | 2019-07-25 |
| 1639721038 | Cayla Clark | Behavior Technician | 137 Johnson Ferry Road Suite 2170, Marietta, GA 30068 | 2019-07-15 |
| 1467910828 | 2me Healthcare,llc | Home Health | 2586 Club Valley Drive Ne, Marietta, GA 30068 | 2019-03-05 |
| 1265912604 | Feidy Chiropractic Clinic Inc, Dba Cardwell Chiropractic Clinic | Chiropractor | 1230 Johnson Ferry Pl Ste G30, Marietta, GA 30068 | 2018-08-15 |
| 1225514219 | Audrey Hughes. Lcsw, LLC | Clinic/Center | 1212 Johnson Ferry Rd, Suite 300, Marietta, GA 30068 | 2018-07-13 |
| 1316461379 | Evan King | Registered Nurse | 52 Pioneer Trl, Marietta, GA 30068 | 2017-08-01 |
| 1912431867 | Anthony Izore | Nurse Practitioner | 5163 Tall Oak Drive, Marietta, GA 30068 | 2017-04-18 |
| Find all providers in zip 30068 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003352857 | Kimchang & Company, LLC | Dentist | 2155 Post Oak Tritt Rd Ste 450, Marietta, GA 30062-8608 | 2017-01-17 |
| 1407993827 | Priya N Dixit | Dentist | 2880 Johnson Ferry Rd Ste 100, Marietta, GA 30062-8368 | 2007-02-01 |
| 1821152364 | Michael Rossitch | Dentist | 3698 Largent Way Nw, Suite 201, Marietta, GA 30064-5923 | 2006-12-20 |
| 1053413906 | Nelson K Allen | Dentist | 2880 Johnson Ferry Rd, Suite 100, Marietta, GA 30062-8368 | 2006-09-02 |
| 1154365161 | Marc Andrew Auerbach | Dentist | 1090 Northchase Pkwy Se, Suite 290, Marietta, GA 30067-6405 | 2006-06-16 |
| 1659313856 | Terry W. Holder | Dentist | 5107 Township Ridge Trce, Marietta, GA 30066-1733 | 2006-06-12 |
| 1679922470 | South Indy Dental, P.C. | Dentist | 1090 Northchase Pkwy Se, Ste. 150, Marietta, GA 30067-6405 | 2016-06-13 |
| 1396106142 | Tebo Dentistry for Kids Marietta LLC | Dentist | 2155 Post Oak Tritt Rd, Suite 450, Marietta, GA 30062-8620 | 2016-03-08 |
| 1982073441 | John Hampton Taylor | Dentist | 1230 Johnson Ferry Rd, Suite I-10, Marietta, GA 30068-2048 | 2015-09-15 |
| 1124404520 | Jorge Del Cuadro | Dentist | 1090 Northchase Pkwy Se Ste 290, Marietta, GA 30067-6402 | 2015-08-07 |
| Find all providers in MARIETTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.