Organization Active NPI

Brain Train Centers East Cobb LLC

  • Clinic/Center
  • Marietta, GA
National Provider Identifier
1902799471
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
BRAIN TRAIN CENTERS EAST COBB LLC
Practice address
1000 Johnson Ferry Rd Ste 125
Marietta, GA 30068-2114
Phone
(470) 423-1452
NPI assigned
Jun 2, 2025
Last updated
Jun 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Authorized official

Name
Jennifer Davenport
Title
Member
Phone
(470) 423-1452

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1000 Johnson Ferry Rd Ste 125
Marietta, GA 30068-2114

Mailing address

3124 N Meadow CT
Marietta, GA 30062-5158
Phone (470) 423-1452

National Provider Directory

National Provider Directory

Locations

1000 Johnson Ferry Rd
Ste 125
Marietta, GA 30068
Phone (470) 423-1452

NPI Registry JSON

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

{
    "created_epoch": "1748822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748822400000",
    "number": "1902799471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3124 N MEADOW CT",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300625158",
            "telephone_number": "470-423-1452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 JOHNSON FERRY RD STE 125",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300682114",
            "telephone_number": "470-423-1452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAIN TRAIN CENTERS EAST COBB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-02",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A",
        "authorized_official_last_name": "DAVENPORT",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "470-423-1452"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; 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.