Skip to content

East Cobb Medical Clinic, LLC

NPI 1669502480ActiveOrganization· Family Medicine· Marietta, GA

Family Medicine in Marietta, Georgia, registered in NPPES in March 2007. The authorized official on file is James K. Irungu, Credentialling Manager.

Overview

NPI1669502480
StatusActive
Entity typeOrganization
NPI issuedMar 7, 2007
Last updated in NPPESAug 22, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Family Medicine Primary207Q00000X049588GA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Family Medicine providers in Marietta

All Family Medicine providers in Georgia →