EAST COBB PEDIATRICS AND ADOLESCENT MEDICINE, PC (NPI# 1841337896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841337896 |
| Entity Type | Organization |
| Organization Name | EAST COBB PEDIATRICS AND ADOLESCENT MEDICINE, PC |
| Practice Address |
1121 Johnson Ferry Rd Suite 220 Marietta GA 30068-5425 |
| Practice Telephone | 7709770094 |
| Practice Fax Number | 7705095177 |
| Mailing Telephone | 7709770094 |
| Mailing Fax Number | 7705095177 |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CAROLE STERLING (BILLING MANAGER) |
| Authorized Official Telephone | 7709770094 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
========= | GA | Allopathic & Osteopathic Physicians |
| Street Address |
1121 JOHNSON FERRY RD SUITE 220 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30068-5425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932195013 | Susan Stephen Glander | Obstetrics & Gynecology | 1121 Johnson Ferry Rd, Suite 150, Marietta, GA 30068-5425 | 2005-09-23 |
| 1801224167 | Roquin Pain Center | Clinic/Center | 1121 Johnson Ferry Rd, Suite 340, Marietta, GA 30068-5425 | 2013-10-24 |
| 1255776134 | Optimal Health Care, LLC | Internal Medicine | 1121 Johnson Ferry Rd, Suite 205, Marietta, GA 30068-5425 | 2013-05-06 |
| 1215270368 | Julie C Tanner | Dentist | 1121 Johnson Ferry Rd, Suite 450, Marietta, GA 30068-5425 | 2013-03-27 |
| 1396000279 | Premier Podiatry-east Cobb | Podiatrist | 1121 Johnson Ferry Rd, Building 1, Suite 215, Marietta, GA 30068-5425 | 2012-07-07 |
| 1447541206 | Stephen Mitchell Martin | Emergency Medicine | 1121 Johnson Ferry Rd, Suite 100, Marietta, GA 30068-5425 | 2011-04-28 |
| 1477866234 | Vanessa D Dunn | Nurse Practitioner | 1121 Johnson Ferry Rd, Suite 100, Marietta, GA 30068-5425 | 2010-07-22 |
| 1376798272 | Jennifer Louise Billingsley | Dental Assistant | 1121 Johnson Ferry Rd, Suite 320, Marietta, GA 30068-5425 | 2008-11-20 |
| 1093981227 | Deanna M Fetsch | Nurse Practitioner | 1121 Johnson Ferry Rd, Suite 220, Marietta, GA 30068-5425 | 2008-05-07 |
| 1821264516 | Sharon Lebedin | Nurse Practitioner | 1121 Johnson Ferry Rd, Suite 220, Marietta, GA 30068-5425 | 2008-05-02 |
| Find all providers in the same location | ||||
| 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 | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679523443 | Craig L Lebish | Pediatrics | 3405 Dallas Hwy Sw Ste 300, Marietta, GA 30064-6426 | 2006-05-11 |
| 1346242229 | Susan Gail Staviss | Pediatrics | 3939 Roswell Rd, Suite 300, Marietta, GA 30062-6251 | 2005-08-11 |
| 1386078152 | Cobb Pediatrics | Pediatrics | 3405 Dallas Hwy Sw, Suite 300, Marietta, GA 30064-6425 | 2013-08-28 |
| 1154687721 | Tina Kim Vothang | Pediatrics | 3747 Roswell Rd, Suite 201, Marietta, GA 30062-6215 | 2012-04-08 |
| 1265759229 | Anna Chandler Schulenborg | Pediatrics | 2155 Post Oak Tritt Rd, Suite 100, Marietta, GA 30062-8620 | 2010-04-29 |
| 1922268838 | Pediatric and Adolescent Healthcare,pc | Pediatrics | 1163 Johnson Ferry Rd, Suite 170, Marietta, GA 30068-2764 | 2008-06-13 |
| 1407045495 | Kaleidoscope Pediatrics PC | Pediatrics | 1523 Johnson Ferry Rd, Suite 150, Marietta, GA 30062-6438 | 2007-10-16 |
| 1962550467 | Dara Hosch | Pediatrics | 3405 Dallas Hwy Sw Ste 300, Marietta, GA 30064-6426 | 2007-01-08 |
| 1558428193 | Tamara Nix | Pediatrics | 2155 Post Oak Tritt Rd, Suite 100, Marietta, GA 30062-8620 | 2007-01-02 |
| 1538240353 | Erika Sandra Van Putten | Pediatrics | 3405 Dallas Hwy Sw Ste 300, Marietta, GA 30064-6426 | 2006-10-18 |
| 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.