Organization Active NPI

Cobb Women's Health, P.a.

  • Obstetrics & Gynecology Physician
  • Austell, GA
National Provider Identifier
1932177649
Registry record updated Sep 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
COBB WOMEN'S HEALTH, P.A.
Practice address
1810 Mulkey Rd
Suite 102
Austell, GA 30106-1151
Phone
(770) 944-8660
Fax
(770) 944-8661
NPI assigned
Mar 9, 2006
Last updated
Sep 7, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2010

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

Authorized official

Name
Dr. Hitendra Hansalia, M.D.NPI 1659349454
Title
Partner
Phone
(770) 944-8660

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
Obstetrics & Gynecology Physician 207V00000X NU Primary

Addresses

Primary practice location

1810 Mulkey Rd
Suite 102
Austell, GA 30106-1151

Mailing address

1810 Mulkey Rd
Suite 102
Austell, GA 30106-1151
Phone (770) 944-8660

Other identifiers 1

IdentifierTypeStateIssuer
300022002AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080319000094 GA Part B Supplier - Clinic/Group Practice 5294811170 Receives reassigned benefits from 2 practitioners
Practice locations: Austell, GA

National Provider Directory

National Provider Directory

Locations

1810 Mulkey Rd
Ste 102
Austell, GA 30106
Phone (770) 944-8660

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283817600000",
    "number": "1932177649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 MULKEY RD",
            "address_2": "SUITE 102",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061151",
            "telephone_number": "770-944-8660",
            "fax_number": "770-944-8661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 MULKEY RD",
            "address_2": "SUITE 102",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061151",
            "telephone_number": "770-944-8660",
            "fax_number": "770-944-8661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COBB WOMEN'S HEALTH, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-09",
        "last_updated": "2010-09-07",
        "status": "A",
        "authorized_official_last_name": "HANSALIA",
        "authorized_official_first_name": "HITENDRA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "770-944-8660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300022002A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.