OrganizationActive
Good Samaritan Health Center of Cobb
NPI 1881923126 · Federally Qualified Health Center (FQHC) · Marietta, GA
Provider details
- NPI number
- 1881923126
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Rory Mathisen, Director of Operations(251) 751-2021
- License
- 054389 (GA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Agencies
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
1605 Roberta Dr Sw
Marietta, GA 30008-3855
Phone: (404) 937-3850
Fax: (770) 419-3121
Street-level locationGet directions
Mailing address
1605 Roberta Dr Sw
Marietta, GA 30008-3855
Registry dates
- Enumerated
- 2009-12-16
- Last updated
- 2022-09-23
- Certified
- 2022-09-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.