WELLSTAR CHIROPRACTIC
NPI 1043619489
Chiropractor in Marietta, GA

Active since August 21, 2014CLIA Certified · 2 labs
3747 ROSWELL RD NE, SUITE 311, MARIETTA, GA 30062(770) 422-2326(770) 422-7797 Get Directions Write a Review

NPPES record last updated: June 8, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wellstar Chiropractic NPPES

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

WELLSTAR CHIROPRACTIC (NPI 1043619489) is a healthcare organization registered as a chiropractor in Marietta, Georgia and active in the NPI registry since August 2014. The organization holds 2 active CLIA laboratory certificates and lists Nicole Ashe, Executive Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1043619489
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameWELLSTAR MEDICAL GROUP, LLC
Location Address3747 ROSWELL RD NE, SUITE 311Marietta, GA 30062-6227
Mailing Address3747 Roswell Rd Ne, Suite 311Marietta, GA 30062-6227 · (770) 422-2326 · Fax (770) 422-7797
Fax(770) 422-7797
Organization SubpartYes
Authorized OfficialNicole AsheExecutive Director Of Finance · (470) 644-0095
Enumeration DateAugust 21, 2014
Last NPPES UpdateJune 8, 2015
NPI 1043619489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
3747 ROSWELL RD NE, Marietta, GA 30062

Other Names 1

Doing Business AsWellstar Chiropractic

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 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 of Waiver 11D2215265

Wellstar Medical Group - Get Well At Work · Marietta, GA
Active · expires Mar 20, 2028
CLIA Number11D2215265
Laboratory TypePhysician Office
Certificate Effective DateMarch 21, 2026
Certificate Expiration DateMarch 20, 2028
Laboratory DirectorMitzi Rubin
Laboratory Phone(470) 793-6120
Laboratory LocationWellstar Medical Group - Get Well At Work780 Church Street, Suite 1115, Marietta, GA 30062
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 11D2171903

Wellstar Medical Group Pediatric Urology East Cobb · Marietta, GA
Active · expires Sep 10, 2027
CLIA Number11D2171903
Laboratory TypePhysician Office
Certificate Effective DateSeptember 11, 2025
Certificate Expiration DateSeptember 10, 2027
Laboratory DirectorDavid Riden
Laboratory Phone(470) 956-1590
Laboratory LocationWellstar Medical Group Pediatric Urology East Cobb3747 Roswell Road, Suite 201, Marietta, GA 30062
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

Family Medicine
3747 ROSWELL RD NE, SUITE 216
MARIETTA, GA 30062
Pediatrics
3747 ROSWELL RD NE, SUITE 201
MARIETTA, GA 30062
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3747 ROSWELL RD NE, SUITE 212
MARIETTA, GA 30062
Anesthesiology (Pain Medicine)
3747 ROSWELL RD NE, SUITE 311
MARIETTA, GA 30062

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 1043619489. It was assigned to this organization in the NPPES registry on August 21, 2014. The provider is doing business as Wellstar Chiropractic.

Where is Wellstar Medical Group, LLC located?

Wellstar Medical Group, LLC is located at 3747 Roswell Rd NE Suite 311, Marietta, GA 30062. The listed phone number is (770) 422-2326.

What is Wellstar Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

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 June 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.