JEFFREY COBB (NPI# 1376028167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376028167 |
| Entity Type | Individual |
| Full Name | JEFFREY COBB |
| Practice Address |
905 Verdae Blvd Ste 204 Greenville SC 29607-4029 |
| Mailing Address |
1 Independence Pt Ste 212 Greenville SC 29615-4536 |
| Practice Telephone | 8642555609 |
| Practice Fax Number | 8642405028 |
| Mailing Telephone | 8647976328 |
| Enumeration Date | 2018-09-27 |
| Last Update Date | 2019-09-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
22226 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
22226 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
22226 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306119243 | Jeffrey Cobb | Pharmacist | 10921 Birchwood Dr, Little Rock, AR 72211-5705 | 2012-02-22 |
| 1386065035 | Jeffrey Cobb | Registered Nurse | 190 Main St, Hampstead, NH 03841-2070 | 2013-12-26 |
| Street Address |
905 VERDAE BLVD STE 204 |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29607-4029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376844290 | Rebecca Smith Deloach | Physician Assistant | 905 Verdae Blvd Ste 204, Greenville, SC 29607-4029 | 2010-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245846138 | Personalized Home Care Services | Technician | 1200 Woodruff Rd A3 Ste 150, Greenville, SC 29607 | 2020-09-16 |
| 1396361960 | Complete Homecare of America, Inc. | In Home Supportive Care | 128 Millport Circle, Suite 200, Greenville, SC 29607 | 2020-06-19 |
| 1275175093 | Carrie Laxton Ballenger | Nurse Practitioner | 2094 Woodruff Road, Greenville, SC 29607 | 2019-10-14 |
| 1861047037 | Susannah Long | Marriage & Family Therapist | 109 Laurens Road, Building 4 Ste D, Greenville, SC 29607 | 2019-08-05 |
| 1043872369 | Cheryl Craig Rosemond | Case Manager/Care Coordinator | 5 Century Drive, Suite 130, Greenville, SC 29607 | 2019-07-08 |
| 1457916561 | After Hours Chiropractic LLC | Chiropractor | 1200 Woodruff Rd Blg A-3, Simpsonville, SC 29607 | 2019-05-03 |
| 1952865289 | Orthodontic Specialists of Carolina, PC | Dentist | 611 Haywood Road, Greenville, SC 29607 | 2019-01-31 |
| 1124502307 | Martha Irby | Home Health Aide | 2320 E North St Rr 107, Greenville, SC 29607 | 2018-09-24 |
| 1780164541 | Suval Psychiatric Services, Pa | Clinic/Center | 33 Market Point Dr Ste 2023, Greenville, SC 29607 | 2018-08-20 |
| 1083113963 | Caroline Graham | Nurse Practitioner | 850 S Pleasantburg Dr, Greenville, SC 29607 | 2018-02-06 |
| Find all providers in zip 29607 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972941821 | Jeanne Cameron Gonzalez | Nurse Practitioner | 504 Huntington Rd, Greenville, SC 29615-4212 | 2013-06-12 |
| 1740896539 | Sarah Lou Mccrary | Nurse Practitioner | 4101 Wesley St Ste C, Greenville, TX 75401-5635 | 2020-09-17 |
| 1124679683 | Benessa Mitchell Sutton | Nurse Practitioner | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2019-09-26 |
| 1487124616 | Lucinda Smith | Nurse Practitioner | 10 Memorial Medical Dr, Greenville, SC 29605-4450 | 2018-11-30 |
| 1295219699 | Suzanne Herta Gubitosa | Nurse Practitioner | 54 Bear Dr, Greenville, SC 29605-4458 | 2018-09-20 |
| 1841774841 | Charlene Winley Earley | Nurse Practitioner | 101 Heart Dr, Greenville, NC 27834-8982 | 2018-09-17 |
| 1366952376 | Kathryn Lynn Phillips | Nurse Practitioner | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2017-10-04 |
| 1831618826 | Tonya Baker Perkins | Nurse Practitioner | 50 Cross Park Ct, Greenville, SC 29605-4263 | 2017-09-12 |
| 1447782859 | Amanda Elizabeth Smith Hamilton | Nurse Practitioner | 255 Enterprise Blvd Ste 101, Greenville, SC 29615-3530 | 2017-04-03 |
| 1114468303 | Laticia Bryant | Nurse Practitioner | 2100 Stantonsburg Rd, Suite 1ad 200, Greenville, NC 27834-2818 | 2017-03-20 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29607 |
Please comment or provide details below to improve the information on JEFFREY COBB.
| 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.