NPIMap

Organization Active NPI

Cobb Pediatrics, PC

  • Pediatrics Physician
  • Powder Springs, GA
National Provider Identifier
1780735944
Registry record updated Oct 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
028948 Issued in GA
Legal business name
COBB PEDIATRICS, PC
Practice address
5041 Dallas Hwy
BLDG. 2, Ste.D
Powder Springs, GA 30127
Phone
(770) 425-5331
Fax
(770) 425-0799
NPI assigned
Jan 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2011

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

Authorized official

Name
Craig L Lebish, M.D.NPI 1679523443
Title
Physician Owner
Phone
(678) 504-1199

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
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 028948 GA Primary

Addresses

Primary practice location

5041 Dallas Hwy
BLDG. 2, Ste.D
Powder Springs, GA 30127

Mailing address

410 Villa Rica Way
Marietta, GA 30064
Phone (678) 504-1199

National Provider Directory

National Provider Directory
Tax ID family
Cobb Pediatrics3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

410 Villa Rica Way SW
Marietta, GA 30064
Phone (678) 504-1199

5041 Dallas Hwy
Bldg 2
Powder Springs, GA 30127
Phone (770) 425-5331

5041 Dallas Hwy
Bldg 2D
Powder Springs, GA 30127
Phone (770) 425-5331

Practitioners & affiliated clinicians

Practitioners 11

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": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318204800000",
    "number": "1780735944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 VILLA RICA WAY",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "30064",
            "telephone_number": "678-504-1199",
            "fax_number": "678-504-1175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5041 DALLAS HWY",
            "address_2": "BLDG. 2, STE.D",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "30127",
            "telephone_number": "770-425-5331",
            "fax_number": "770-425-0799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COBB PEDIATRICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2011-10-10",
        "status": "A",
        "authorized_official_last_name": "LEBISH",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "678-504-1199",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "028948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Powder Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2011; 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.