East Cobb Pediatrics and Adolescent Medicine, PC

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

Legal business name

EAST COBB PEDIATRICS AND ADOLESCENT MEDICINE, PC

Practice address

1121 Johnson Ferry Rd
Suite 220
Marietta, GA 30068-5425

Phone

(770) 977-0094

Fax

(770) 509-5177

NPI assigned

Jan 31, 2007

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carole Sterling

Title

Billing Manager

Phone

(770) 977-0094

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 17

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.

• Charles A Corley, MD

  • Pediatrics Physician
  • Marietta, GA
  • NPI 1821044868
  NPD (past)
• Barbara Cossman, CPNP

  • Pediatric Nurse Practitioner
  • Marietta, GA
  • NPI 1750557435
  NPD (past)
• Deanna M Fetsch, CPNP

  • Pediatric Nurse Practitioner
  • Marietta, GA
  • NPI 1093981227
  NPD (past)
• Marisa R Gadea, MD

  • Pediatrics Physician
  • Marletta, GA
  • NPI 1528013943
  NPD (past)
• Ilyssa E Greenberg, D.O.

  • Pediatrics Physician
  • Marietta, GA
  • NPI 1598008427
  NPD (past)
• Daniel Joseph Heine, M.D.

  • Pediatrics Physician
  • Marietta, GA
  • NPI 1730317918
  NPD (past)
• Elizabeth Kemp, MD

  • Pediatrics Physician
  • Marietta, GA
  • NPI 1538114194
  NPD (past)
• Barbara Kay Koval, CPNP

  • Pediatric Nurse Practitioner
  • Smyrna, GA
  • NPI 1568566594
  NPD (past)
• Sharon Lebedin, CPNP

  • Pediatric Nurse Practitioner
  • Marietta, GA
  • NPI 1821264516
  NPD (past)
• Amanda McGahee, MD

  • Pediatrics Physician
  • Marietta, GA
  • NPI 1831212737
  NPD (past)
• Mona Megahed, M.D.

  • Pediatrics Physician
  • Alpharetta, GA
  • NPI 1023229143
  NPD (past)
• Amit D Salkar, M.D.

  • Pediatrics Physician
  • Marietta, GA
  • NPI 1366768376
  NPD (past)

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1841337896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 JOHNSON FERRY RD",
            "address_2": "SUITE 220",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300685425",
            "telephone_number": "770-977-0094",
            "fax_number": "770-509-5177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 JOHNSON FERRY RD",
            "address_2": "SUITE 220",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300685425",
            "telephone_number": "770-977-0094",
            "fax_number": "770-509-5177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST COBB PEDIATRICS AND ADOLESCENT MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "STERLING",
        "authorized_official_first_name": "CAROLE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "770-977-0094"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• East Cobb Health
• East Cobb Massage Therapy, Inc
• East Cobb Medical Clinic, LLC
• East Cobb MRI Center
• East Cobb Nia LLC
• East Cobb Physical Therapy, LLC (FYZICAL Therapy and Balance Centers)
• East Cobb Physical Therapy, LLC (James A. Biga)
• East Cobb Podiatry Surgery Center, LLC
• East Cobb Relationship Center
• East Cobb Therapy Center LLC

• Pediatric Adolescent Medicine Physician in Marietta, GA
• Providers in Marietta, GA by specialty
• Pediatric Adolescent Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.