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WELLSTAR COBB GYNECOLOGISTS
NPI 1013213651
Obstetrics & Gynecology in Austell, GA

Active since January 30, 2011CLIA 11D0952880 · Microscopy
1791 MULKEY RD, SUITE 200, AUSTELL, GA 30106(770) 732-5400(770) 944-0327 Get Directions Write a Review

NPPES record last updated: November 19, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wellstar Cobb Gynecologists NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WELLSTAR COBB GYNECOLOGISTS (NPI 1013213651) is a healthcare organization registered as an obstetrics & gynecology in Austell, Georgia and active in the NPI registry since January 2011. The organization holds a CLIA Microscopy certificate valid through October 20, 2026 and lists Nicole Ashe, Executive Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1013213651
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameWELLSTAR MEDICAL GROUP, LLC
Location Address1791 MULKEY RD, SUITE 200Austell, GA 30106-1124
Mailing Address1791 Mulkey Rd, Suite 200Austell, GA 30106-1124 · (770) 732-5400 · Fax (770) 944-0327
Phone(770) 732-5400
Fax(770) 944-0327
Organization SubpartYes
Authorized OfficialNicole AsheExecutive Director Of Finance · (470) 644-0095
Enumeration DateJanuary 30, 2011
Last NPPES UpdateNovember 19, 2013
✔ NPI 1013213651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
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.
1791 MULKEY RD, Austell, GA 30106
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Other Names 1

Doing Business AsWellstar Cobb Gynecologists

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

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) 11D0952880

Wellstar Medical Group Urology- Austell · Austell, GA
Active · expires Oct 20, 2026
CLIA Number11D0952880
Laboratory TypePhysician Office
Certificate Effective DateOctober 21, 2024
Certificate Expiration DateOctober 20, 2026
Laboratory DirectorBeau Dusseault
Laboratory Phone(770) 944-8742
Laboratory LocationWellstar Medical Group Urology- Austell1700 Hospital South Drive, Suite 404, Austell, GA 30106
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. VIDYA SOUNDARARAJAN MD
Obstetrics & Gynecology
1791 MULKEY RD, SUITE 200
AUSTELL, GA 30106
Cobb County (770) 732-5400
MS. CHASTAINE KENDRICK CNM
Advanced Practice Midwife
1791 MULKEY RD, SUITE 200
AUSTELL, GA 30106
Cobb County (770) 732-5400
THE ATLATNA CARDIOLOGY GROUP, PC
Internal Medicine (Cardiovascular Disease)
1791 MULKEY RD, SUITE 101
AUSTELL, GA 30106
Cobb County (770) 941-7741
LORENZO CABRERA, MD D/B/A COBB GYNECOLOGISTS
Obstetrics & Gynecology
1791 MULKEY RD, SUTIE 200
AUSTELL, GA 30106
Cobb County (770) 732-5400
DR. USHA P DESAI MD
Obstetrics & Gynecology
1791 MULKEY RD, SUITE 200
AUSTELL, GA 30106
Cobb County (770) 732-5400
YOON JEONG CHANG M.D.
Obstetrics & Gynecology
1791 MULKEY RD, SUITE 200
AUSTELL, GA 30106
Cobb County (770) 732-5400
DR. STEVEN H. LEE MD
Obstetrics & Gynecology
1791 MULKEY RD, SUITE 200
AUSTELL, GA 30106
Cobb County (770) 732-5400
MS. LINDA RANGE CNM
Advanced Practice Midwife
1791 MULKEY RD, SUITE 200
AUSTELL, GA 30106
Cobb County (770) 732-5400

Frequently 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 1013213651. It was assigned to this organization in the NPPES registry on January 30, 2011. The provider is doing business as Wellstar Cobb Gynecologists.

Where is Wellstar Medical Group, LLC located?

Wellstar Medical Group, LLC is located at 1791 Mulkey Rd Suite 200, Austell, GA 30106. The listed phone number is (770) 732-5400.

What is Wellstar Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Does Wellstar Medical Group, LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 11D0952880) is associated with this NPI, valid through October 20, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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.