WELLSTAR MARIETTA FAMILY MEDICINE
NPI 1093011637
Family Medicine in Marietta, GA

Active since January 30, 2011
114 CHERRY ST NE, SUITE A, MARIETTA, GA 30060(770) 423-0895(770) 429-8628 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 Marietta Family Medicine NPPES

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

WELLSTAR MARIETTA FAMILY MEDICINE (NPI 1093011637) is a healthcare organization registered as a family medicine in Marietta, Georgia and active in the NPI registry since January 2011. The organization lists Nicole Ashe, Executive Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1093011637
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWELLSTAR MEDICAL GROUP, LLC
Location Address114 CHERRY ST NE, SUITE AMarietta, GA 30060-7277
Mailing Address114 Cherry St Ne, Suite AMarietta, GA 30060-7277 · (770) 423-0895 · Fax (770) 429-8628
Fax(770) 429-8628
Organization SubpartYes
Authorized OfficialNicole AsheExecutive Director Of Finance · (470) 644-0095
Enumeration DateJanuary 30, 2011
Last NPPES UpdateNovember 18, 2013
NPI 1093011637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
114 CHERRY ST NE, Marietta, GA 30060

Other Names 1

Doing Business AsWellstar Marietta Family Medicine

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

Other Providers at the Same Location NPPES 2

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

Specialist
114 CHERRY ST NE, SUITE F
MARIETTA, GA 30060
Clinic/Center (Health Service)
114 CHERRY ST NE, SUITE C
MARIETTA, GA 30060

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 1093011637. It was assigned to this organization in the NPPES registry on January 30, 2011. The provider is doing business as Wellstar Marietta Family Medicine.

Where is Wellstar Medical Group, LLC located?

Wellstar Medical Group, LLC is located at 114 Cherry St NE Suite A, Marietta, GA 30060. The listed phone number is (770) 423-0895.

What is Wellstar Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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.