Cobb Outpatient Detox, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

COBB OUTPATIENT DETOX, LLC

Doing business as

Metro Atlanta Outpatient Detox

Practice address

811 Livingston CT SE Ste B
Marietta, GA 30067-8958

Phone

(678) 439-6441

Fax

(470) 857-8728

NPI assigned

Aug 11, 2023

Last updated

Aug 11, 2025By 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

Gregory Chancy

Title

Manager

Phone

(470) 222-1219

Specialties & licenses 1

Addresses

Other names 2

• Metro Atlanta Outpatient Detox Doing business as
• Cobb Outpatient Detox, LLC Other name

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

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 1

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.

• John David Lentz III, MD

  • Family Medicine Physician
  • Snellville, GA
  • NPI 1235264342
  Medicare reassignment NPD

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

{
    "created_epoch": "1691712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754870400000",
    "number": "1871276105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 LIVINGSTON CT SE STE B",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678958",
            "telephone_number": "678-439-6441",
            "fax_number": "470-857-8728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 LIVINGSTON CT SE STE B",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678958",
            "telephone_number": "678-439-6441",
            "fax_number": "470-857-8728"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2700 Northeast Expy NE Ste C650",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303451899",
            "country_code": "US",
            "telephone_number": "859-304-4047",
            "fax_number": "470-227-8522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COBB OUTPATIENT DETOX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-11",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A",
        "authorized_official_last_name": "CHANCY",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "470-222-1219"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metro Atlanta Outpatient Detox",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cobb Outpatient Detox, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Cobb Eye Center LLP
• Cobb Foot & Leg Surgical Center, LLC
• Cobb Hyperbaric Medicine, Inc
• Cobb Internal Medicine Associates
• Cobb Oral Surgery and Dental Implant Center PC
• Cobb Pain and Rehabilitation
• Cobb Pediatrics
• Cobb Pediatrics, P.C.
• Cobb Pulmonary Associates PC
• Cobb Root Canals

• Substance Use Disorder Rehabilitation Clinic/Center in Marietta, GA
• Providers in Marietta, GA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Georgia

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

Verify at the official NPI Registry.