Organization Active NPI

Cobb Podiatry, P.C.

  • Primary Podiatric Medicine Podiatrist
  • Kennesaw, GA
National Provider Identifier
1629090766
Registry record updated Apr 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
POD001000 Issued in GA
Legal business name
COBB PODIATRY, P.C.
Practice address
921 Checkered Way NW
Kennesaw, GA 30152-7887
Phone
(770) 596-2376
Fax
(773) 940-4820
NPI assigned
Jul 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2013

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

Authorized official

Name
Dr. Alpa B. Patel, DPM
Title
Owner/President
Phone
(770) 596-2376

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213EP1101X POD001000 GA Primary

Addresses

Primary practice location

921 Checkered Way NW
Kennesaw, GA 30152-7887

Mailing address

921 Checkered Way NW
Kennesaw, GA 30152-7887
Phone (770) 596-2376

Other identifiers 1

IdentifierTypeStateIssuer
801408839AMedicaidGA

National Provider Directory

National Provider Directory

Locations

3105 Creekside Village Dr NW
Ste 703
Kennesaw, GA 30144
Phone (770) 529-2722

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366070400000",
    "number": "1629090766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 CHECKERED WAY NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301527887",
            "telephone_number": "770-596-2376",
            "fax_number": "773-940-4820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 CHECKERED WAY NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301527887",
            "telephone_number": "770-596-2376",
            "fax_number": "773-940-4820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COBB PODIATRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2013-04-16",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "ALPA",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "770-596-2376",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "GA",
            "license": "POD001000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "801408839A",
            "state": "GA"
        }
    ],
    "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 Apr 16, 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.