Cobb Medical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

COBB MEDICAL SUPPLY

Practice address

1755 The Exchange SE Ste 110
Atlanta, GA 30339-7401

Phone

(470) 964-3790

NPI assigned

Aug 18, 2023

Organization subpart

No

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

Authorized official

Name

Mohammed Abdulrasheed Khalidi

Title

Manager

Phone

(470) 964-3790

Specialties & licenses 1

Addresses

Other names 1

• Cobb Medical Supply Former legal business name

Locations

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

{
    "created_epoch": "1692316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727049600000",
    "number": "1306629654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 THE EXCHANGE SE STE 110",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303397401",
            "telephone_number": "470-964-3790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 THE EXCHANGE SE STE 110",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303397401",
            "telephone_number": "470-964-3790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COBB MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-18",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A",
        "authorized_official_last_name": "KHALIDI",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_middle_name": "ABDULRASHEED",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "470-964-3790"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cobb Medical Supply",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Latoya Coates
• Casey Coats
• Daphne Denise Coats, ARNP
• Lacey Coats
• Cobb Eye Associates II LLC
• Cobb Outpatient Detox, LLC
• Alexandria Jeanette Cobb, DDS
• Jason Cobb, MD
• Maureen M Cobb, LISW-CP
• Quinton Cobb

• Durable Medical Equipment & Medical Supplies in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.