WELLSTAR PSYCHOLOGICAL SERVICES
NPI 1114207461
Psychologist in Marietta, GA

Active since August 18, 2011
55 WHITCHER ST NE, SUITE 420, MARIETTA, GA 30060(770) 514-6760(770) 794-8034 Get Directions Write a Review

NPPES record last updated: November 19, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Wellstar Psychological Services NPPES

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

WELLSTAR PSYCHOLOGICAL SERVICES (NPI 1114207461) is a healthcare organization registered as a psychologist in Marietta, Georgia and active in the NPI registry since August 2011. The organization lists Nicole Ashe, Executive Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1114207461
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameWELLSTAR MEDICAL GROUP, LLC
Location Address55 WHITCHER ST NE, SUITE 420Marietta, GA 30060-1155
Mailing Address55 Whitcher St Ne, Suite 420Marietta, GA 30060-1155 · (770) 514-6760 · Fax (770) 794-8034
Fax(770) 794-8034
Organization SubpartYes
Authorized OfficialNicole AsheExecutive Director Of Finance · (470) 644-0095
Enumeration DateAugust 18, 2011
Last NPPES UpdateNovember 19, 2013
✔ NPI 1114207461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
55 WHITCHER ST NE, Marietta, GA 30060

Other Names 1

Doing Business AsWellstar Psychological Services

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

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 Psychological Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3,854

Medicare enrollment records show 3,854 clinicians reassign Medicare billing to Wellstar Psychological Services, which bills Medicare for the services they deliver. Of these, 183 practice at this address and 1,131 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 79

Nurse Practitioner773
Family Practice246
Internal Medicine225
Hospitalist215
Obstetrics/Gynecology165
Pediatric Medicine165
Certified Registered Nurse Anesthetist (CRNA)153
Anesthesiology151
71 other specialties1,761

Nearest to this location (20)

See all 3,854
Nurse Practitioner
NPI 1205355633
55 WHITCHER ST NE STE 130
Marietta, GA 30060
(770) 426-1629
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1043467038
55 WHITCHER ST NE STE 250
Marietta, GA 30060
(770) 428-4475
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1184697534
55 WHITCHER ST NE SUITE 130
Marietta, GA 30060
(770) 428-0462
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1467630491
55 WHITCHER ST NE SUITE 350
Marietta, GA 30060
(770) 424-6893
✔ PECOS✔ Accepts MedicareSame address
Colorectal Surgery (Proctology)
NPI 1821086554
55 WHITCHER ST NE SUITE 130
Marietta, GA 30060
(770) 428-0462
✔ PECOS✔ Accepts MedicareSame address
Critical Care (Intensivists)
NPI 1518177500
55 WHITCHER ST NE STE 160
Marietta, GA 30060
(770) 422-1372
✔ PECOS✔ Accepts MedicareSame address
Interventional Cardiology
NPI 1316937378
55 WHITCHER ST NE STE 350
Marietta, GA 30060
(770) 424-6893
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1114175858
55 WHITCHER ST NE STE 260
Marietta, GA 30060
(943) 202-7050
✔ PECOS✔ Accepts MedicareSame address
Infectious Disease
NPI 1215967211
55 WHITCHER ST NE SUITE 220
Marietta, GA 30060
(770) 429-0083
✔ PECOS✔ Accepts MedicareSame address
Pulmonary Disease
NPI 1821013087
55 WHITCHER ST NE SUITE 160
Marietta, GA 30060
(770) 422-1372
✔ PECOSSame address
Clinical Psychologist
NPI 1922273358
55 WHITCHER ST NE SUITE 420
Marietta, GA 30060
(770) 514-6760
✔ PECOS✔ Accepts MedicareSame address
Cardiac Electrophysiology
NPI 1942279328
55 WHITCHER ST NE SUITE 350
Marietta, GA 30060
(770) 424-6893
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1679232144
55 WHITCHER ST NE STE 420
Marietta, GA 30060
(770) 514-6760
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1316045503
55 WHITCHER ST NE SUITE 420
Marietta, GA 30060
(770) 422-1372
✔ PECOSSame address
Psychiatry
NPI 1649479973
55 WHITCHER ST NE SUITE 420
Marietta, GA 30060
(770) 514-6760
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1154403582
55 WHITCHER ST NE STE 400
Marietta, GA 30060
(470) 956-3960
✔ PECOS✔ Accepts MedicareSame address
Thoracic Surgery
NPI 1780666719
61WHITCHER ST NE SUITE 4120
Marietta, GA 30060
(770) 424-9732
✔ PECOSSame address
Vascular Surgery
NPI 1801114335
61 WHITCHER ST NE STE 2100
Marietta, GA 30060
(404) 605-5699
✔ PECOS✔ Accepts MedicareSame address
Neurology
NPI 1114459351
61 WHITCHER ST NE STE 3110
Marietta, GA 30060
(770) 422-2326
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1336232750
61 WHITCHER ST NE STE 4120
Marietta, GA 30060
(470) 267-2980
✔ PECOS✔ Accepts MedicareSame address
See all 3,854 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 1114207461. It was assigned to this organization in the NPPES registry on August 18, 2011. The provider is doing business as Wellstar Psychological Services.

Where is Wellstar Medical Group, LLC located?

Wellstar Medical Group, LLC is located at 55 Whitcher St NE Suite 420, Marietta, GA 30060. The listed phone number is (770) 514-6760.

What is Wellstar Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

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, 183 practice at this address and 1,131 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Wellstar Medical Group, LLC was last updated on November 19, 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.