COBB HYPERBARIC MEDICINE, INC – Undersea and Hyperbaric Medicine (Preventive Medicine) Physician, NPI 1043376452
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for COBB HYPERBARIC MEDICINE, INC
250 Chastain Rd NW Ste 210
Kennesaw, GA 301443214
Phone: (770) 422-0517
Fax: (678) 638-7015
Type: Location
Powers Ferry Road Southeast, Marietta, Cobb, Georgia, 30067, United States
BLDG 2, SUITE 150
MARIETTA, GA 300675491
Phone: (770) 422-4268
Fax: (770) 422-2950
Type: Mailing
61, Whitcher Street Northwest, Elizabeth, Marietta, Cobb, Georgia, 30060, United States
SUITE 2150
MARIETTA, GA 300601176
Phone: (770) 422-4268
Fax: (770) 422-2950
Type: Location
1341 CANTON RD STE A
MARIETTA, GA 300666056
Phone: (770) 422-0517
Fax: (678) 638-7015
Type: Mailing
250 CHASTAIN RD NW STE 210
KENNESAW, GA 301443214
Phone: (770) 422-0517
Fax: (678) 638-7015
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2015-07-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-07-31 (1044 days ago).
Enrollment records
1
Earliest due date
2023-07-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20150701002163 | O | Clinic/Group Practice | GA | 2023-07-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30144)
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