Organization
COBB NEPHROLOGY HYPERTENSION ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SAMANTHA GILLEY (BILLING COORDINATOR)
(678) 460-2718
Entity
Organization
Contact information
Practice address
4444 AUSTELL RD, AUSTELL, GA 30106-1844
(678) 460-2700
(877) 784-4013
Mailing address
4444 AUSTELL RD, AUSTELL, GA 30106-1844
(678) 460-2700
(877) 784-4013
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000146187B
—
GA
05
—
000146187C
—
GA
05
—
000495316A
—
GA
05
—
000495316B
—
GA
01
—
03169
BCBS GROUP #
GA
05
—
300029262B
—
GA
05
—
300029262C
—
FL
05
—
300029262I
—
GA
Enumeration date
06/04/2006
Last updated
01/14/2026
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