WELLSTAR INFECTIOUS DISEASE, LLC
NPI 1093760282
Internal Medicine - Infectious Disease in Marietta, GA

NPI Status: Active since May 24, 2006

Contact Information

55 WHITCHER ST NE
SUITE 220
MARIETTA, GA
ZIP 30060
Phone: (770) 429-0083
Fax: (770) 425-0137

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  • Organization
  • Internal Medicine
  • Infectious Disease
  • CLIA Number: 11D2272516
  • CLIA Cert. Type: Other - EMPLOYEE CLINIC
  • CLIA Exp. Date: 11-21-2026

About WELLSTAR INFECTIOUS DISEASE, LLC

This page provides the complete NPI Profile along with additional information for Wellstar Infectious Disease, Llc, an internist established in Marietta, Georgia operating as a Internal Medicine, focusing in infectious disease . The healthcare provider is registered in the NPI registry with number 1093760282 assigned on May 2006. The practitioner's primary taxonomy code is 207RI0200X. The provider is registered as an organization and their NPI record was last updated 15 years ago. Wellstar Infectious Disease, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Nicole Ashe (Executive Director Of Finance)

NPI
1093760282
Provider Name
WELLSTAR INFECTIOUS DISEASE, LLC
Entity Type
Organization
Location Address
55 WHITCHER ST NE SUITE 220 MARIETTA, GA 30060
Location Phone
(770) 429-0083
Location Fax
(770) 425-0137
Mailing Address
55 WHITCHER ST NE SUITE 220 MARIETTA, GA 30060
Mailing Phone
(770) 429-0083
Mailing Fax
(770) 425-0137
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-24-2006
Last Update Date
01-25-2011
Code Navigator

An internist like Wellstar Infectious Disease, Llc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Infectious Disease

Taxonomy Code
207RI0200X
Type
Allopathic & Osteopathic Physicians
License State
GA
Taxonomy Description
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

(GA)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

NICOLE ASHE

Authorized Official Title
EXECUTIVE DIRECTOR OF FINANCE
Authorized Official Phone
(770) 792-5261

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
11D2272516
Facility Type
Other - EMPLOYEE CLINIC
Certificate Effective Date
November 22, 2024
Certificate Expiration Date
November 21, 2026
Laboratory Director
CHHAVI NOOHANI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Wellstar Infectious Disease, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1093760282, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
3
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
6
Unchanged
Pos 7
0
Doubled → 0
Pos 8
2
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 7 → 14 → 5 0 → 0 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 8 + 3 + 1 + 4 + 6 + 0 + 2 + 1 + 6 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1093760282.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Surgery (Vascular Surgery)
55 WHITCHER ST NE, SUITE 130
MARIETTA, GA 30060
Surgery (Vascular Surgery)
55 WHITCHER ST NE, SUITE 130
MARIETTA, GA 30060
Internal Medicine (Cardiovascular Disease)
55 WHITCHER ST NE, SUITE 350
MARIETTA, GA 30060
Physician Assistant (Medical)
55 WHITCHER ST NE, SUITE 350
MARIETTA, GA 30060
Nurse Practitioner (Acute Care)
55 WHITCHER ST NE, SUITE 350
MARIETTA, GA 30060
Physician Assistant (Medical)
55 WHITCHER ST NE, SUITE 350
MARIETTA, GA 30060
Internal Medicine (Endocrinology, Diabetes & Metabolism)
55 WHITCHER ST NE, SUITE 400
MARIETTA, GA 30060
Internal Medicine (Pulmonary Disease)
55 WHITCHER ST NE, SUITE 420
MARIETTA, GA 30060
Internal Medicine (Pulmonary Disease)
55 WHITCHER ST NE, SUITE 160
MARIETTA, GA 30060
Internal Medicine (Pulmonary Disease)
55 WHITCHER ST NE, SUITE 420
MARIETTA, GA 30060
Dietitian, Registered (Nutrition, Renal)
55 WHITCHER ST NE, SUITE 460
MARIETTA, GA 30060
Internal Medicine (Pulmonary Disease)
55 WHITCHER ST NE, SUITE 420
MARIETTA, GA 30060
Pharmacist
55 WHITCHER ST NE
MARIETTA, GA 30060
Physician Assistant
55 WHITCHER ST NE, SUITE 350
MARIETTA, GA 30060
Physician Assistant (Medical)
55 WHITCHER ST NE, SUITE 350
MARIETTA, GA 30060
Dentist (Oral and Maxillofacial Surgery)
55 WHITCHER ST NE, SUITE 140
MARIETTA, GA 30060
Clinical Nurse Specialist (Adult Health)
55 WHITCHER ST NE, SUITE 350
MARIETTA, GA 30060
Oral & Maxillofacial Surgery
55 WHITCHER ST NE, SUITE 140
MARIETTA, GA 30060
Physician Assistant
55 WHITCHER ST NE, SUITE 350
MARIETTA, GA 30060
Nurse Practitioner (Adult Health)
55 WHITCHER ST NE, SUITE 350
MARIETTA, GA 30060

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093760282, enumerated as an "organization" on May 24, 2006.

The provider is located at 55 WHITCHER ST NE SUITE 220 MARIETTA, GA 30060 and the phone number is (770) 429-0083.

Internal Medicine with taxonomy code 207RI0200X and a focus in Infectious Disease.