Quinton Cobb

Primary specialty

DentistTaxonomy code 122300000X

License

DN015973 Issued in GA

Practice address

1538 Chantilly Dr NE Apt 233
Atlanta, GA 30324-3288

Phone

(770) 778-8091

NPI assigned

Mar 24, 2019

Last updated

Nov 5, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1553385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1073073193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1538 CHANTILLY DR NE APT 233",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303243288",
            "telephone_number": "770-778-8091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1538 CHANTILLY DR NE APT 233",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303243288",
            "telephone_number": "770-778-8091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBB",
        "first_name": "QUINTON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-24",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN015973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cobb Medical Supply
• Cobb Outpatient Detox, LLC (Metro Atlanta Oupatient Detox)
• Alexandria Jeanette Cobb, DDS
• Jason Cobb, MD
• Maureen M Cobb, LISW-CP
• Shabrian Cobb
• Thomas G Cobb, MD
• Jennifer Coleman Cobbs, PA-C
• Allison Inga Buri Coburn, CNM
• Caroline Varner Coburn, MS, RN, ANP-BC

• Dentist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.