WELLSTAR COBB GYNECOLOGISTS
NPI 1013213651
Obstetrics & Gynecology in Austell, GA
- Organization
- Obstetrics & Gynecology
- CLIA Number: 11D0952880
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-20-2026
About WELLSTAR COBB GYNECOLOGISTS
This page provides the complete NPI Profile along with additional information for Wellstar Cobb Gynecologists, a women's health care provider established in Austell, Georgia operating as a Obstetrics & Gynecology. The healthcare provider is registered in the NPI registry with number 1013213651 assigned on January 2011. The practitioner's primary taxonomy code is 207V00000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Wellstar Cobb Gynecologists. The authorized official of this NPI record is Mrs. Nicole Ashe (Executive Director Of Finance)
- NPI
- 1013213651 Verify this NPI
- Provider Legal Name
- WELLSTAR MEDICAL GROUP, LLC
- Other Organization Name
- WELLSTAR COBB GYNECOLOGISTS
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1791 MULKEY RD SUITE 200 AUSTELL, GA 30106
- Location Phone
- (770) 732-5400
- Location Fax
- (770) 944-0327
- Mailing Address
- 1791 MULKEY RD SUITE 200 AUSTELL, GA 30106
- Mailing Phone
- (770) 732-5400
- Mailing Fax
- (770) 944-0327
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 01-30-2011
- Last Update Date
- 11-19-2013
- Code Navigator
Women's health care providers like Wellstar Cobb Gynecologists treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Obstetrics & Gynecology
- Taxonomy Code
- 207V00000X
- Type
- Allopathic & Osteopathic Physicians
- License State
- GA
- Taxonomy Description
- An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 11D0952880
- Facility Type
- Physician Office
- Certificate Effective Date
- October 21, 2024
- Certificate Expiration Date
- October 20, 2026
- Laboratory Director
- BEAU DUSSEAULT
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Wellstar Cobb Gynecologists in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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Other Providers at the Same Location
The following 11 providers are registered at the same or a nearby location.
AUSTELL, GA 30106
AUSTELL, GA 30106
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013213651, enumerated as an "organization" on January 30, 2011.
The provider is located at 1791 MULKEY RD SUITE 200 AUSTELL, GA 30106 and the phone number is (770) 732-5400.
Obstetrics & Gynecology with taxonomy code 207V00000X.
