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WELLSTAR INTERNAL MEDICINE GAIM
NPI 1083917587
Internal Medicine in Austell, GA

Active since December 06, 2010CLIA 11D0919086 · Waiver
3825 MEDICAL PARK DR, SUITE 201, AUSTELL, GA 30106(770) 941-8100(770) 948-0771 Get Directions Write a Review

NPPES record last updated: November 18, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wellstar Internal Medicine Gaim NPPES

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

WELLSTAR INTERNAL MEDICINE GAIM (NPI 1083917587) is a healthcare organization registered as an internal medicine in Austell, Georgia and active in the NPI registry since December 2010. The organization holds a CLIA Waiver certificate valid through August 27, 2026 and lists Nicole Ashe, Executive Vp Of Finance, as its authorized official.

NPPES Registry Identity

NPI1083917587
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameWELLSTAR MEDICAL GROUP, LLC
Location Address3825 MEDICAL PARK DR, SUITE 201Austell, GA 30106-6831
Mailing Address3825 Medical Park Dr, Suite 201Austell, GA 30106-6831 · (770) 941-8100 · Fax (770) 948-0771
Phone(770) 941-8100
Fax(770) 948-0771
Organization SubpartYes
Authorized OfficialNicole AsheExecutive Vp Of Finance · (470) 644-0095
Enumeration DateDecember 6, 2010
Last NPPES UpdateNovember 18, 2013
✔ NPI 1083917587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3825 MEDICAL PARK DR, Austell, GA 30106
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Other Names 1

Doing Business AsWellstar Internal Medicine Gaim

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 of Waiver 11D0919086

Wellstar Internal Medicine G A I M 2 · Douglasville, GA
Active · expires Aug 27, 2026
CLIA Number11D0919086
Laboratory TypePhysician Office
Certificate Effective DateAugust 28, 2024
Certificate Expiration DateAugust 27, 2026
Laboratory DirectorMichael Pianksy
Laboratory Phone(770) 941-8100
Laboratory LocationWellstar Internal Medicine G A I M 26043 Prestley Mill Road, Suite B, Douglasville, GA 30134
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 16

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

DR. NIRANJAN J DAVE MD
Internal Medicine (Cardiovascular Disease)
3825 MEDICAL PARK DR, SUITE100
AUSTELL, GA 30106
Cobb County (770) 944-2245
PHILICIA L ANDREWS MD
Internal Medicine
3825 MEDICAL PARK DR, SUITE 301
AUSTELL, GA 30106
Cobb County (770) 739-9971
WELLSTAR MEDICAL GROUP, LLC
Internal Medicine
3825 MEDICAL PARK DR, SUITE 100
AUSTELL, GA 30106
Cobb County (770) 948-8680
DRUENELL ELIA LINTON MD
Internal Medicine (Cardiovascular Disease)
3825 MEDICAL PARK DR, SUITE 301
AUSTELL, GA 30106
Cobb County (770) 941-7741
NIRANJAN J DAVE MD PC
Internal Medicine (Cardiovascular Disease)
3825 MEDICAL PARK DR, SUITE 100
AUSTELL, GA 30106
Cobb County (770) 944-2245
JASMINE JEFFERS, MD, LLC
Internal Medicine (Gastroenterology)
3825 MEDICAL PARK DR, SUITE 300
AUSTELL, GA 30106
Cobb County (770) 941-4810
DR. SAIRA ADEEL M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3825 MEDICAL PARK DR, SUITE 201
AUSTELL, GA 30106
Cobb County (770) 941-8100
WELLSTAR MEDICAL GROUP, LLC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3825 MEDICAL PARK DR, SUITE 100
AUSTELL, GA 30106
Cobb County (770) 941-8100

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 1083917587. It was assigned to this organization in the NPPES registry on December 6, 2010. The provider is doing business as Wellstar Internal Medicine Gaim.

Where is Wellstar Medical Group, LLC located?

Wellstar Medical Group, LLC is located at 3825 Medical Park Dr Suite 201, Austell, GA 30106. The listed phone number is (770) 941-8100.

What is Wellstar Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

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

Yes. A Certificate of Waiver (number 11D0919086) is associated with this NPI, valid through August 27, 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 18, 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.