"My best answer is I don't know," James said. "Now we're looking to make sure the clinic did everything they were supposed to do and were in line with the law."
Cook learned that her son's 16-year-old girlfriend was pregnant when she read a text message on his cell phone. The woman began contacting the teen, urging her not to tell her parents and offering to pay for the abortion and arrange for the procedure, according to James.
The Atlanta-based Northside Women's Clinic offers pregnant women abortions up to the 15th week of pregnancy. The anonymous procedure requires a minor surgery and the whole visit takes about two hours, according to a description on the clinic's Web site, which also lays out the clinic's policy for prospective patients under 18 years of age.
"Unmarried patients under the age of 18 are required by Georgia State law to have a parent notification note," according to the clinic's Web site. "This note needs to state that your legal guardian or parent is aware that you are terminating your pregnancy, and then they date and sign that note."
The note becomes a permanent part of your medical record and is kept confidential," the Web site reads.
Little said that the Georgia law is not nearly as simple as the clinic describes.
The Northside Women's Clinic did not return a phone call from ABC News for comment.