NPIMap

Organization Active NPI

Cobb Pediatrics, P.C.

  • Primary Care Clinic/Center
  • Marietta, GA
National Provider Identifier
1194047050
Registry record updated Feb 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
RN188532NP
Legal business name
COBB PEDIATRICS, P.C.
Practice address
410 Villa Rica Way SW
Marietta, GA 30064-5741
Phone
(678) 504-1199
Fax
(678) 504-1175
NPI assigned
Feb 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2010

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

Authorized official

Name
Dr. Dara Hosch, M.D.
Title
Ceo
Phone
(678) 504-1199

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X RN188532NP Primary

Addresses

Primary practice location

410 Villa Rica Way SW
Marietta, GA 30064-5741

Mailing address

410 Villa Rica Way SW
Marietta, GA 30064-5741
Phone (678) 504-1199

National Provider Directory

National Provider Directory
Tax ID family
Cobb Pediatrics3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1266537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266537600000",
    "number": "1194047050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 VILLA RICA WAY SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300645741",
            "telephone_number": "678-504-1199",
            "fax_number": "678-504-1175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 VILLA RICA WAY SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300645741",
            "telephone_number": "678-504-1199",
            "fax_number": "678-504-1175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COBB PEDIATRICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-19",
        "last_updated": "2010-02-19",
        "status": "A",
        "authorized_official_last_name": "HOSCH",
        "authorized_official_first_name": "DARA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-504-1199",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": "RN188532NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.