Individual provider Active NPI

Sabrina Powell-Cobb, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Griffin, GA
National Provider Identifier
1417513557
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN127264 Issued in GA
Practice address
1710 Ga Highway 16 W
Griffin, GA 30223-7107
Phone
(770) 229-3407
NPI assigned
May 14, 2019
Last updated
Mar 24, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN127264 GA Primary

Addresses

Primary practice location

1710 Ga Highway 16 W
Griffin, GA 30223-7107

Mailing address

1710 Ga Highway 16 W
Griffin, GA 30223-7107
Phone (770) 229-3407

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191226000889 GA Practitioner - Nurse Practitioner 9537593645 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Mind & Energy Wellness Solutions, LLC Current Accepting new patients
Pathways Center for Behavioral and Developmental Growth CurrentSince Oct 16, 2019 Accepting new patients
Pathways Center for Behavioral and Developmental Growth CurrentSince Oct 16, 2019 Accepting new patients
Pathways Center for Behavioral & Developmental Growth PastSince Nov 24, 2019 Accepting new patients

Locations

1710 Newnan Rd
Griffin, GA 30223
Phone (770) 229-3407

122 Gordon Commercial Dr
Ste C
Lagrange, GA 30240
Phone (678) 854-2150

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1557792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1417513557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 GA HIGHWAY 16 W",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302237107",
            "telephone_number": "770-229-3407",
            "fax_number": "770-229-3465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 GA HIGHWAY 16 W",
            "city": "GRIFFIN",
            "state": "GA",
            "postal_code": "302237107",
            "telephone_number": "770-229-3407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL-COBB",
        "first_name": "SABRINA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-14",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN127264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Griffin, GA

Sources for this page

Verify at the official NPI Registry.