WELLSTAR INTERNAL MEDICINE GAIM
NPI 1083917587
Internal Medicine in Austell, GA
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, 2028 and lists Nicole Ashe, Executive Vp Of Finance, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Wellstar Internal Medicine Gaim is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3,854Medicare enrollment records show 3,854 clinicians reassign Medicare billing to Wellstar Internal Medicine Gaim, which bills Medicare for the services they deliver. Of these, 1,019 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 79
Nearest to this location (20)
See all 3,854Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, GAFrequently 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.
Is Wellstar Medical Group, LLC enrolled in Medicare?
Yes. Wellstar Medical Group, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Wellstar Medical Group, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3,854 clinicians in 79 Medicare specialties reassign their Medicare billing to Wellstar Medical Group, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (773), Family Practice (246) and Internal Medicine (225). Of these, 1,019 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, 2028. 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.
# Wellstar Internal Medicine Gaim · NPI 1083917587
Internal Medicine organization in Austell, Georgia. Organization record, active in the CMS NPPES registry since December 6, 2010.
## Identity
- **NPI:** 1083917587 (Entity type: Organization)
- **Enumerated:** December 6, 2010
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Legal business name:** Wellstar Medical Group, Llc
- **Organization subpart:** Yes (part of Wellstar Medical Group, Llc)
- **Authorized official:** Nicole Ashe, EXECUTIVE VP OF FINANCE
## Practice location
- **Address:** 3825 MEDICAL PARK DR, SUITE 201, Austell, GA 30106-6831
- **Phone:** (770) 941-8100 · **Fax:** (770) 948-0771
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3,854 clinicians in 79 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (773), Family Practice (246), Internal Medicine (225); 1,019 practice within 10 miles; [full list](https://npiprofile.com/npi/1083917587/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 18, 2013
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1083917587) · Data from the CMS NPPES public registry.