NPI age
16 years
Enumerated 2009-12-16
● Active Type 2 · Organization
Good Samaritan Health Center Of Cobb
Good Samaritan Health Center Of Cobb is 1 of 462 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Mathisen
Director Of Operations
Last NPPES update
2022-09-23
Source: monthly bulk 2026-05
How this organization compares
Across 462 active clinic/center providers in Georgia.
NPI age
16 years
↑ 7 yr above median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 12% of peers with subspecialties
NPI lifetime · 2009 → 2026
2009-12Enumerated in NPPES
2009
2026
Where they practice
Primary practice location
1605 Roberta Dr Sw
Marietta, GA 300083855
Mailing address
1605 Roberta Dr Sw
Marietta, GA 300083855
Authorized official
Rory Mathisen, MPH
Director Of Operations
📞 2517512021
Individual providers at this organization
17 individual providers on file at this primary practice address.
- Laura Bayani, PA-C Physician Assistant NPI 1578819918
- Joel Carpenter, M.D. Family Medicine NPI 1912458456
- Katherine Field, PHARMD Pharmacist NPI 1609160266
- Patricia Guzman, RDH Dental Hygienist NPI 1922503572
- Alan Kirk, PHD, LCSW Social Worker NPI 1659650331
- Marjan Kirkland, FNP-C Nurse Practitioner NPI 1326349614
- Bradford Lipman, MD Internal Medicine NPI 1740285956
- Venetta Mwengella, NP-C Nurse Practitioner NPI 1275015281
- Linda Nguyen, MD Family Medicine NPI 1841879210
- Ji Won Park, DMD Dentist NPI 1255984324
- Adrienne Polite, D.O. Family Medicine NPI 1740454875
- Ryan Ranells, FNP-BC Nurse Practitioner NPI 1275279226
- Lori Stephenson, RPH Pharmacist NPI 1427745678
- Jessica Talbert, DO Family Medicine NPI 1376004259
- Sotheavy Vann, MD Family Medicine NPI 1710411590
- Christina Williams, FNP Nurse Practitioner NPI 1811885551
- Peter Wyman, MD Internal Medicine NPI 1710063680
Specialties
-
Clinic/Center PrimaryDefinition to come...
-
Voluntary or CharitableDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 202G703251 | MEDICARE PART B |
| 05 (GA) | 01000654 | |
| 01 (GA) | 08BBRXN | MEDICARE |
| 05 (GA) | 003151808A | |
| 01 (GA) | 111043 | MEDICARE PART A PTAN |
Practice context
Multi-provider organization. 17 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.