Organization Active NPI

Physicians Immediate Med of Cobb, P.C.

  • Family Medicine Physician
  • Kennesaw, GA
National Provider Identifier
1265473656
Registry record updated Feb 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Feb 14, 2013

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.