Kelly L. Cobb, MD, Apmc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

BC201667 Issued in LA

Legal business name

KELLY L. COBB, MD, APMC

Practice address

605 Silverstone Rd Ste 100
Lafayette, LA 70508-6899

Phone

(337) 266-9985

Fax

(337) 266-4775

NPI assigned

Jan 15, 2008

Last updated

Feb 17, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kasy L Mire

Title

Office Manager

Phone

(337) 266-9985

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kelly L. Cobb, M.D.

  • Internal Medicine Physician
  • Lafayette, LA
  • NPI 1598732349
  Medicare reassignment Care Compare group NPD
• Beth Alexandra Degeyter, FNP-C

  • Family Nurse Practitioner
  • Lafayette, LA
  • NPI 1366157737
  Medicare reassignment Care Compare group NPD
• Navita Gupta, M.D.

  • Internal Medicine Physician
  • Metairie, LA
  • NPI 1982961579
  Medicare reassignment Care Compare group NPD
• Marcus Ryan Davidson, PA-C

  • Physician Assistant
  • Lafayette, LA
  • NPI 1962942839
  Medicare reassignment Care Compare group
• Nadia M Elsayed, APRN, ANP

  • Adult Health Nurse Practitioner
  • Lafayette, LA
  • NPI 1821314659
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676592000000",
    "number": "1063698462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 SILVERSTONE RD STE 100",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086899",
            "telephone_number": "337-266-9985",
            "fax_number": "337-266-4775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 SILVERSTONE RD STE 100",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086899",
            "telephone_number": "337-266-9985",
            "fax_number": "337-266-4775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1405 W Pinhook Rd",
            "address_2": "Ste 102",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705033100",
            "country_code": "US",
            "telephone_number": "337-266-9985",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KELLY L. COBB, MD, APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-15",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A",
        "authorized_official_last_name": "MIRE",
        "authorized_official_first_name": "KASY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "337-266-9985"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "LA",
            "license": "BC201667",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vern Antoine Keller, MD
• Brian William Kelley, DDS, MD
• Jonathan Ashworth Kelley, MS, CCC-SLP
• Tram DO Kelley, PHARM. D
• Virginia Kellner, M.D.
• Judith A Kelsey, M.D.
• Kemp Coreil MD Apmc
• Daelan Kendall
• Adam Kennedy, M.D.
• Anjuel M Kennedy

• Clinic/Center in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.