Active NPI
Amy Beckman Cobb, ARNP
- Family Nurse Practitioner
- Lagrange, GA
National Provider Identifier
1508838830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN193814
- Practice address
- 303 Smith St
Lagrange, GA 30240-2745 - Phone
- (706) 812-4391
- Fax
- (706) 812-4032
- NPI assigned
- Feb 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4333P | KY | |
| Family Nurse Practitioner | 363LF0000X | RN193814 | GA | Primary |
Addresses
Primary practice location
303 Smith St
Lagrange, GA 30240-2745
Mailing address
50 S B B King Blvd
Memphis, TN 38103-2626
Phone (866) 949-0108
Other practice location 1
1230 Peachtree St NE Fl 19
Atlanta, GA 30309-3574
Phone (866) 949-0108
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4333P | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Care Health Network LLC | Current | Accepting new patients |
Locations
9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883
1000 Parkwood Cir SE
Ste 900
Atlanta, GA 30339
Phone (216) 393-8684
Interoperability endpoints
- ms_acobb20@landmarkhealth-direct.org
- acobb21321@direct.emory.org
- amy.cobb.1@22854.direct.athenahealth.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650240000000",
"number": "1508838830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 S B B KING BLVD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381032626",
"telephone_number": "866-949-0108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 SMITH ST",
"city": "LAGRANGE",
"state": "GA",
"postal_code": "302402745",
"telephone_number": "706-812-4391",
"fax_number": "706-812-4032"
}
],
"practiceLocations": [
{
"address_1": "1230 Peachtree St NE Fl 19",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303093574",
"country_code": "US",
"telephone_number": "866-949-0108",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COBB",
"first_name": "AMY",
"middle_name": "BECKMAN",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-02",
"last_updated": "2022-04-18",
"certification_date": "2022-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "4333P",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN193814",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lagrange, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.