Organization Active NPI

Coby Bryan LCSW LLC

  • Clinical Social Worker
  • Atlanta, GA
National Provider Identifier
1689499535
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
COBY BRYAN LCSW LLC
Practice address
2869 Parrott Ave NW
Atlanta, GA 30318-1020
Phone
(678) 751-4789
NPI assigned
Nov 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Authorized official

Name
Coby Bryan, LCSWNPI 1235547852
Title
Owner, Sole MBR
Phone
(678) 751-4789

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

2869 Parrott Ave NW
Atlanta, GA 30318-1020

Mailing address

2869 Parrott Ave NW
Atlanta, GA 30318-1020
Phone (678) 751-4789

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250716003968 GA Part B Supplier - Clinic/Group Practice 5193230282 Receives reassigned benefits from 1 practitioner
Practice locations: Atlanta, GA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1731715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750896000000",
    "number": "1689499535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2869 PARROTT AVE NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303181020",
            "telephone_number": "678-751-4789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2869 PARROTT AVE NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303181020",
            "telephone_number": "678-751-4789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COBY BRYAN LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-16",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A",
        "authorized_official_last_name": "BRYAN",
        "authorized_official_first_name": "COBY",
        "authorized_official_title_or_position": "OWNER, SOLE MBR",
        "authorized_official_telephone_number": "678-751-4789",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.