WELLSTAR EAST PAULDING PRIMARY CARE CENTER
NPI 1003112640
Internal Medicine in Hiram, GA
About Wellstar East Paulding Primary Care Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WELLSTAR EAST PAULDING PRIMARY CARE CENTER (NPI 1003112640) is a healthcare organization registered as an internal medicine in Hiram, Georgia and active in the NPI registry since January 2011. The organization holds 2 active CLIA laboratory certificates and lists Nicole Ashe, Executive Director Of Finance, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Wellstar East Paulding Primary Care Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3,854Medicare enrollment records show 3,854 clinicians reassign Medicare billing to Wellstar East Paulding Primary Care Center, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 115 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 79
Nearest to this location (20)
See all 3,854Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate for Provider-Performed Microscopy Procedures (PPMP) 11D2136946
Wellstar Medical Group Urogynecology At Paulding · Hiram, GACertificate of Waiver 11D2089724
Wellstar Medical Group Ent- Hiram · Hiram, GAFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Wellstar Medical Group, LLC's NPI number?
The NPI number for Wellstar Medical Group, LLC is 1003112640. It was assigned to this organization in the NPPES registry on January 30, 2011. The provider is doing business as Wellstar East Paulding Primary Care Center.
Where is Wellstar Medical Group, LLC located?
Wellstar Medical Group, LLC is located at 176 Charles Hardy Pkwy Unit C, Hiram, GA 30141. The listed phone number is (678) 945-8200.
What is Wellstar Medical Group, LLC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Wellstar Medical Group, LLC enrolled in Medicare?
Yes. Wellstar Medical Group, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Wellstar Medical Group, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3,854 clinicians in 79 Medicare specialties reassign their Medicare billing to Wellstar Medical Group, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (773), Family Practice (246) and Internal Medicine (225). Of these, 1 practice at this address and 115 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Wellstar Medical Group, LLC hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for Wellstar Medical Group, LLC was last updated on November 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Wellstar East Paulding Primary Care Center · NPI 1003112640
Internal Medicine organization in Hiram, Georgia. Organization record, active in the CMS NPPES registry since January 30, 2011.
## Identity
- **NPI:** 1003112640 (Entity type: Organization)
- **Enumerated:** January 30, 2011
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Legal business name:** Wellstar Medical Group, Llc
- **Organization subpart:** Yes (part of Wellstar Medical Group, Llc)
- **Authorized official:** Nicole Ashe, EXECUTIVE DIRECTOR OF FINANCE
## Practice location
- **Address:** 176 CHARLES HARDY PKWY, UNIT C, Hiram, GA 30141-1836
- **Phone:** (678) 945-8200 · **Fax:** (678) 945-8209
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3,854 clinicians in 79 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (773), Family Practice (246), Internal Medicine (225); 1 practice at this address and 115 within 10 miles; [full list](https://npiprofile.com/npi/1003112640/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 19, 2013
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1003112640) · Data from the CMS NPPES public registry.