COBB REGENERATIVE & JOINT CLINIC LLC – NPI #1053985341
Anesthesiology

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

Health Care Provider Taxonomy Code for Anesthesiology

COBB REGENERATIVE & JOINT CLINIC LLC is an anesthesiologist located in KENNESAW, GA. NPPES has assigned the NPI number 1053985341 to COBB REGENERATIVE & JOINT CLINIC LLC on May 19, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207LP2900X from the Health Care Provider Taxonomy code set, which is classified as Anesthesiology, specializing in Pain Medicine

The NPI profile was previously updated about 3 years ago on Aug 07, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COBB REGENERATIVE & JOINT CLINIC LLC below.

NPI Profile for
COBB REGENERATIVE & JOINT CLINIC LLC

NPI Number
1053985341
Enumeration Date

(more than 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
COBB REGENERATIVE & JOINT CLINIC LLC
Primary location
1050 SHILOH RD NW STE 305
KENNESAW, GA 30144-8100
Phone: (770) 485-8298 Fax: (770) 234-5215
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SIXTO GONZALEZ
OPERATING MANAGER/OWNER
Phone: (770) 485-8298
Updated
Certification Date
Aug 07, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207LP2900X
- Anesthesiology / Pain Medicine (Primary)
174400000X
- Specialist
163WP0000X
- Registered Nurse / Pain Management

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.