COBB FOOT & LEG SURGICAL CENTER, LLC – Ambulatory Surgical Clinic/Center, NPI 1336123264

COBB FOOT & LEG SURGICAL CENTER, LLC is a healthcare provider. based in Marietta, Georgia. specializing in Ambulatory Surgical Clinic/Center. The NPI Number for COBB FOOT & LEG SURGICAL CENTER, LLC is 1336123264

Main info

Organization
Name
COBB FOOT & LEG SURGICAL CENTER, LLC
NPI
1336123264
Phone
(770) 422-9856
Address
165 VANN ST NE
Authorized Official
DR. GLYN E LEWIS PRESIDENT DPM
Enumeration Date
5 December 2005
Last Update Date
5 January 2012
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:20State licenses:0Digital endpointsOther names

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Provider Addresses for COBB FOOT & LEG SURGICAL CENTER, LLC

  • 165, Vann Street Northeast, Elizabeth, Marietta, Cobb County, Georgia, 30060, United States

    MARIETTA, GA 300607249

    Phone: (770) 422-9856

    Fax: (770) 984-0303

    Mailing address matches the actual address.

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: 2006-07-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-09-30 (986 days ago).

Enrollment records

1

Earliest due date

2023-09-30

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20060718000050OAmbulatory Surgical CenterGA2023-09-30

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
28285Correction of toe joint deformity2016$0
28108Removal of cyst or growth of toe bone1612$0
View full utilization report →

Insurance plans in this area (ZIP 30060)

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Reviews

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Frequently asked questions

What number should I use to identify COBB FOOT & LEG SURGICAL CENTER, LLC for billing?
Administrative and clinical systems typically use NPI 1336123264 for COBB FOOT & LEG SURGICAL CENTER, LLC.
Should I treat COBB FOOT & LEG SURGICAL CENTER, LLC as an active provider?
Patients and plans typically see COBB FOOT & LEG SURGICAL CENTER, LLC as active in the national extract.
Which specialty label fits COBB FOOT & LEG SURGICAL CENTER, LLC?
NPPES ties COBB FOOT & LEG SURGICAL CENTER, LLC to Ambulatory Surgical Clinic/Center in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to COBB FOOT & LEG SURGICAL CENTER, LLC?
COBB FOOT & LEG SURGICAL CENTER, LLC is associated with Marietta, Georgia in the same public data insurers reference.
Why is information missing for COBB FOOT & LEG SURGICAL CENTER, LLC?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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