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

Q: 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.

Q: What is Wellstar Medical Group, LLC's specialty?

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

Active since January 30, 2011CLIA 11D2121362 · Waiver

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: September 13, 2026.

On this page

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 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

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

Phone(770) 423-0895

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

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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

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 2

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

DR. ROBERT A STOLTZ MD

Specialist

114 CHERRY ST NE, SUITE F
MARIETTA, GA 30060

Cobb County (770) 218-1888

P & J ENTERPRISES OF WEST ATL, INC.

Clinic/Center (Health Service)

114 CHERRY ST NE, SUITE C
MARIETTA, GA 30060

Cobb County (770) 424-2211

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.

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 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.