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WELLSTAR NEUROSCIENCES
NPI 1083027320
Psychiatry & Neurology - Neurology in Marietta, GA

Active since June 04, 2014CLIA 11D2121362 · Waiver
677 CHURCH ST NE, MARIETTA, GA 30060(770) 422-2326(770) 422-7797 Get Directions Write a Review

NPPES record last updated: June 4, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Wellstar Neurosciences NPPES

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

WELLSTAR NEUROSCIENCES (NPI 1083027320) is a healthcare organization registered as a neurology in Marietta, Georgia and active in the NPI registry since June 2014. The organization holds a CLIA Waiver certificate valid through November 2, 2026 and lists Nicole Ashe, Executive Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1083027320
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameWELLSTAR MEDICAL GROUP, LLC
Location Address677 CHURCH ST NEMarietta, GA 30060-1101
Mailing Address677 Church St NeMarietta, GA 30060-1101 · (770) 422-2326 · Fax (770) 422-7797
Phone(770) 422-2326
Fax(770) 422-7797
Organization SubpartYes
Authorized OfficialNicole AsheExecutive Director Of Finance · (470) 644-0095
Enumeration DateJune 4, 2014
✔ NPI 1083027320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Also ListedRegistered Nurse · NeuroscienceTaxonomy 163WN0800X
677 CHURCH ST NE, Marietta, GA 30060
Open in Google Maps ↗

Other Names 1

Doing Business AsWellstar Neurosciences

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 of Waiver 11D2121362

Wellstar Medical Group-Center For Best Health · Marietta, GA
Active · expires Nov 2, 2026
CLIA Number11D2121362
Laboratory TypePhysician Office
Certificate Effective DateNovember 3, 2024
Certificate Expiration DateNovember 2, 2026
Laboratory DirectorMitzi Rubin
Laboratory Phone(470) 956-3960
Laboratory LocationWellstar Medical Group-Center For Best Health55 Whitcher Street, Suite 400, Marietta, GA 30060
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 20

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

DR. VAN ERIC HILL MD
Internal Medicine
677 CHURCH ST NE
MARIETTA, GA 30060
Cobb County (770) 793-7750
DR. CAROL P CRISCO MD
Pathology (Cytopathology)
677 CHURCH ST NE
MARIETTA, GA 30060
Cobb County (770) 793-5435
DR. DAVID SCHLOSNAGLE MD
Pathology (Anatomic Pathology & Clinical Pathology)
677 CHURCH ST NE
MARIETTA, GA 30060
Cobb County (770) 793-5435
WELLSTAR PHYSICIANS GROUP HOSPITALISTS, LLC
Internal Medicine
677 CHURCH ST NE, BOX 111
MARIETTA, GA 30060
Cobb County (770) 793-7750
DR. ROBIN KLEIN MD
Internal Medicine
677 CHURCH ST NE
MARIETTA, GA 30060
Cobb County (770) 793-7750
DR. BARRY G NEDOBA MD
Internal Medicine
677 CHURCH ST NE
MARIETTA, GA 30060
Cobb County (770) 793-5179
MRS. RHONDA KIM LEE NP-C
Registered Nurse (Wound Care)
677 CHURCH ST NE
MARIETTA, GA 30060
Cobb County (770) 793-7173
CORNELIUS E BROWN PHARMD
Pharmacist
677 CHURCH ST NE
MARIETTA, GA 30060
Cobb County (770) 793-5422

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 1083027320. It was assigned to this organization in the NPPES registry on June 4, 2014. The provider is doing business as Wellstar Neurosciences.

Where is Wellstar Medical Group, LLC located?

Wellstar Medical Group, LLC is located at 677 Church St NE, Marietta, GA 30060. The listed phone number is (770) 422-2326.

What is Wellstar Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

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

Yes. A Certificate of Waiver (number 11D2121362) is associated with this NPI, valid through November 2, 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 June 4, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.