Active NPI
Cobb Nephrology Hypertension Associates, PC
- Nephrology Physician
- Austell, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- COBB NEPHROLOGY HYPERTENSION ASSOCIATES, PC
- Practice address
- 4444 Austell Rd
Austell, GA 30106-1844 - Phone
- (678) 460-2700
- Fax
- (877) 784-4013
- NPI assigned
- Jun 4, 2006
- Last updated
- Jan 14, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Samantha Gilley
- Title
- Billing Coordinator
- Phone
- (678) 460-2718
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | Primary |
Addresses
Primary practice location
4444 Austell Rd
Austell, GA 30106-1844
Mailing address
4444 Austell Rd
Austell, GA 30106-1844
Phone (678) 460-2700
Other practice location 1
4019 Johns Rd Ste 100
Dallas, GA 30132-3420
Phone (678) 460-2700
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000146187B | Medicaid | GA | |
| 03169 | Other | GA | BCBS GROUP # |
| 000146187C | Medicaid | GA | |
| 300029262B | Medicaid | GA | |
| 300029262I | Medicaid | GA | |
| 300029262C | Medicaid | FL | |
| 000495316A | Medicaid | GA | |
| 000495316B | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2043363 | Cobb Nephrology Hypertension Assoc, PC | Certificate of waiver | Feb 4, 2027 |
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
dba Kennestone Dialysis
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Marietta, GA
- NPI 1558524546
Member Of
Locations
1660 Mulkey Rd
Ste B
Austell, GA 30106
Phone (678) 460-2700
4444 Austell Rd
Austell, GA 30106
Phone (678) 460-2700
4019 Johns Rd
#100
Dallas, GA 30132
Phone (678) 460-2700
4019 Johns Rd
Ste 100
Dallas, GA 30132
Phone (678) 460-2700
605 W Memorial Dr
Dallas, GA 30132
Phone (678) 460-2700
7117 S Sweetwater Rd
Ste 101
Lithia Spgs, GA 30122
4110 Austell Powder Springs Rd
Powder Springs, GA 30127
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BCHBDA
Practitioners & affiliated clinicians
Practitioners 14
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nephrology Physician
- Austell, GA
- NPI 1932130721
-
- Family Nurse Practitioner
- Austell, GA
- NPI 1942731864
-
- Nephrology Physician
- Austell, GA
- NPI 1982831616
-
- Nephrology Physician
- Austell, GA
- NPI 1134382088
-
- Nephrology Physician
- Austell, GA
- NPI 1609938133
-
- Nephrology Physician
- Austell, GA
- NPI 1255527339
-
- Family Nurse Practitioner
- Austell, GA
- NPI 1487122065
-
- Family Nurse Practitioner
- Austell, GA
- NPI 1609500347
-
- Nephrology Physician
- Austell, GA
- NPI 1730758533
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1768348800000",
"number": "1821036278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4444 AUSTELL RD",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301061844",
"telephone_number": "678-460-2700",
"fax_number": "877-784-4013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4444 AUSTELL RD",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301061844",
"telephone_number": "678-460-2700",
"fax_number": "877-784-4013"
}
],
"practiceLocations": [
{
"address_1": "4019 Johns Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "GA",
"postal_code": "301323420",
"country_code": "US",
"telephone_number": "678-460-2700",
"fax_number": "877-784-4013",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "COBB NEPHROLOGY HYPERTENSION ASSOCIATES, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-04",
"last_updated": "2026-01-14",
"certification_date": "2026-01-14",
"status": "A",
"authorized_official_last_name": "GILLEY",
"authorized_official_first_name": "SAMANTHA",
"authorized_official_title_or_position": "BILLING COORDINATOR",
"authorized_official_telephone_number": "678-460-2718",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000146187B",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP #",
"identifier": "03169",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000146187C",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300029262B",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300029262I",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300029262C",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000495316A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000495316B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Austell, GA
- Cobb County Community Services Board
- Cobb Eye Center, LLP
- Cobb Gynecologist 2 LLC
- Cobb Hospital, Inc (Wellstar Cobb Hospital)
- Cobb Hospital, Inc (WellStar Cobb Hospital Inpatient Rehab Unit)
- Cobb Physician Group, P.C.
- Cobb Women's Health, P.a.
- Gina C Cochran, PA
- Angela Dawn Coffeen, NP
- Ellen Coggeshall, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.