Four C, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

FOUR C, LLC

Practice address

207 W Geer St
Colquitt, GA 39837-3533

Phone

(229) 758-3316

Fax

(229) 758-6343

NPI assigned

Sep 20, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Janna H Cobb, RPH

Title

Owner

Phone

(229) 758-3316

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Grow Drug Co Doing business as

Locations

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1669468294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 W GEER ST",
            "city": "COLQUITT",
            "state": "GA",
            "postal_code": "398373533",
            "telephone_number": "229-758-3316",
            "fax_number": "229-758-6343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 W GEER ST",
            "city": "COLQUITT",
            "state": "GA",
            "postal_code": "398373533",
            "telephone_number": "229-758-3316",
            "fax_number": "229-758-6343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR C, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-20",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "COBB",
        "authorized_official_first_name": "JANNA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-758-3316",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "PHRE004475",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "1107906",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grow Drug Co",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mac Bradley Davis, CRNA
• Ketan Desai, MD
• Dr and Associates Rehabilitation, LLC
• Charles J Fetner, CRNA
• Brandy Smith Floyd, PA
• Ivanshi A Gondalia, MD
• Wendy Page Grimes, FNP-C
• Grimsley Dental Clinic, LLC
• Joseph Wayne Grimsley, DMD
• Markesha Leshea Groomes

• All providers in Colquitt, GA
• Community/Retail Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.