Cobb Outpatient Detox, LLC
NPI 1871276105 · Substance Use Disorder Rehabilitation Clinic/Center · Marietta, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Cobb Outpatient Detox, LLC is a Substance Use Disorder Rehabilitation Clinic/Center organization in Marietta, GA (NPI 1871276105).
Provider details
- NPI number
- 1871276105
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Gregory Chancy, Manager(470) 222-1219
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Cobb Outpatient Detox, LLC
- Doing business as
- Metro Atlanta Outpatient Detox
Additional practice locations (1)
- 2700 Northeast Expy Ne Ste C650Atlanta, GA 30345-1899Phone: (859) 304-4047Fax: (470) 227-8522
Registry dates
- Enumerated
- 2023-08-11
- Last updated
- 2025-08-11
- Certified
- 2025-08-11
Frequently asked questions
- What is Cobb Outpatient Detox, LLC's NPI number?
- Cobb Outpatient Detox, LLC's National Provider Identifier (NPI) is 1871276105, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Cobb Outpatient Detox, LLC?
- Cobb Outpatient Detox, LLC is classified in the NPPES registry as Substance Use Disorder Rehabilitation Clinic/Center (Ambulatory Health Care Facilities).
- Where is Cobb Outpatient Detox, LLC located?
- Cobb Outpatient Detox, LLC's practice location on file with NPPES is 811 Livingston Ct Se Ste B, Marietta, GA 30067-8958.
- What is Cobb Outpatient Detox, LLC's phone number?
- The practice phone number listed in the NPPES registry for Cobb Outpatient Detox, LLC is (678) 439-6441.
- Does Cobb Outpatient Detox, LLC accept Medicare?
- Cobb Outpatient Detox, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Cobb Outpatient Detox, LLC?
- The authorized official listed on Cobb Outpatient Detox, LLC's NPPES record is Gregory Chancy, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Cobb Outpatient Detox, LLC's NPI active?
- Yes — Cobb Outpatient Detox, LLC's NPI (1871276105) is active in the NPPES registry as of the last update on 2025-08-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.