Active NPI
Physicians Immediate Med of Cobb, P.C.
- Family Medicine Physician
- Kennesaw, GA
National Provider Identifier
1265473656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- PHYSICIANS IMMEDIATE MED OF COBB, P.C.
- Practice address
- 2481 George Busbee Pkwy NW
Kennesaw, GA 30144-4961 - Phone
- (770) 423-0000
- Fax
- (770) 423-0131
- NPI assigned
- Jun 9, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Loretta P Hart
- Title
- Branch Manager/Credentialing
- Phone
- (770) 423-0000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
2481 George Busbee Pkwy NW
Kennesaw, GA 30144-4961
Mailing address
2481 George Busbee Pkwy NW
Kennesaw, GA 30144-4961
Phone (770) 423-0000
National Provider Directory
National Provider DirectoryLocations
2481 George Busbee Pkwy NW
Kennesaw, GA 30144
Phone (770) 423-0000
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Atlanta, GA
- NPI 1639152515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1360800000000",
"number": "1265473656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2481 GEORGE BUSBEE PKWY NW",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301444961",
"telephone_number": "770-423-0000",
"fax_number": "770-423-0131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2481 GEORGE BUSBEE PKWY NW",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301444961",
"telephone_number": "770-423-0000",
"fax_number": "770-423-0131"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSICIANS IMMEDIATE MED OF COBB, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-09",
"last_updated": "2013-02-14",
"status": "A",
"authorized_official_last_name": "HART",
"authorized_official_first_name": "LORETTA",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "BRANCH MANAGER/CREDENTIALING",
"authorized_official_telephone_number": "770-423-0000"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kennesaw, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.