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WELLSTAR SUMMIT SURGICAL
NPI 1124451190
Surgery in Marietta, GA

Active since August 14, 2013
590 NANCY ST NW, MARIETTA, GA 30060(770) 423-0395(770) 499-0352 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 Summit Surgical NPPES

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

WELLSTAR SUMMIT SURGICAL (NPI 1124451190) is a healthcare organization registered as a surgery in Marietta, Georgia and active in the NPI registry since August 2013. The organization lists Nicole Ashe, Executive Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1124451190
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameWELLSTAR MEDICAL GROUP, LLC
Location Address590 NANCY ST NWMarietta, GA 30060-1334
Mailing Address590 Nancy St NwMarietta, GA 30060-1334 · (770) 423-0395 · Fax (770) 499-0352
Phone(770) 423-0395
Fax(770) 499-0352
Organization SubpartYes
Authorized OfficialNicole AsheExecutive Director Of Finance · (470) 644-0095
Enumeration DateAugust 14, 2013
Last NPPES UpdateNovember 19, 2013
✔ NPI 1124451190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
590 NANCY ST NW, Marietta, GA 30060
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Other Names 1

Doing Business AsWellstar Summit Surgical

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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

Clinicians Billing Medicare Through This Organization

3,853

Medicare enrollment records show 3,853 clinicians reassign Medicare billing to Wellstar Summit Surgical, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 1,133 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 specialties1,760

Nearest to this location (20)

See all 3,853
Frank Yang, MD
General Surgery
NPI 1023515814
590 NANCY ST NW
Marietta, GA 30060
(770) 423-0395
✔ PECOS✔ Accepts MedicareSame address
Gary Hathaway, MD
General Surgery
NPI 1164489373
590 NANCY ST NW
Marietta, GA 30060
(770) 423-0395
✔ PECOS✔ Accepts MedicareSame address
Robert Holcomb, M.D.
General Surgery
NPI 1790742807
590 NANCY ST NW
Marietta, GA 30060
(770) 423-0395
✔ PECOS✔ Accepts MedicareSame address
Sartaj Sanghera, MD
General Surgery
NPI 1811174170
590 NANCY ST NW
Marietta, GA 30060
(770) 423-0395
✔ PECOS✔ Accepts MedicareSame address
Jeffrey Schwab, M.D.
General Surgery
NPI 1609833813
590 NANCY ST NW
Marietta, GA 30060
(770) 423-0395
✔ PECOS✔ Accepts MedicareSame address
Sahir Shroff, M.D.
Surgical Oncology
NPI 1659338416
590 NANCY ST NW
Marietta, GA 30060
(770) 423-0395
✔ PECOS✔ Accepts MedicareSame address
Daniel Hoffmeister
Anesthesiology Assistant
NPI 1437565587
531 ROSELANE ST NW SUITE 750
Marietta, GA 30060
(770) 794-0477
✔ Accepts Medicare0.1 mi
Mohammed Waqar, MD
Anesthesiology
NPI 1205326410
531 ROSELANE ST NW STE 830
Marietta, GA 30060
(770) 794-0477
✔ PECOS0.1 mi
Kathleen Daskal, CNP
Nurse Practitioner
NPI 1376517037
100 LACY ST NW SUITE 150
Marietta, GA 30060
(770) 793-7635
✔ PECOS✔ Accepts Medicare0.1 mi
Karon Hammonds, KARON HAMMONDS, M.D.
Physical Medicine and Rehabilitation
NPI 1750602405
100 LACY STREET SUITE 150
Marietta, GA 30060
(770) 793-7635
✔ PECOS✔ Accepts Medicare0.1 mi
Jessica Robbins, PHD
Neuropsychiatry
NPI 1427591692
100 LACY ST NW STE 150
Marietta, GA 30060
(770) 514-6760
✔ PECOS✔ Accepts Medicare0.1 mi
Sheree Brown, M.D.
Radiation Oncology
NPI 1629085881
320 KENNESTONE HOSPITAL BLVD LL1
Marietta, GA 30060
(770) 793-7500
✔ PECOS✔ Accepts Medicare0.3 mi
Ryan Cantwell, MD
Internal Medicine
NPI 1023007457
320 KENNESTONE HOSPITAL BLVD SUITE 201
Marietta, GA 30060
(770) 427-2457
✔ PECOS✔ Accepts Medicare0.3 mi
Peter Trottier, MD
Emergency Medicine
NPI 1235112947
320 KENNESTONE HOSPITAL BLVD SUITE 201
Marietta, GA 30060
(770) 427-2457
✔ PECOS✔ Accepts Medicare0.3 mi
Sydney Trevino, DO
Family Practice
NPI 1649929191
355 TOWER RD NE STE 300
Marietta, GA 30060
(770) 427-2457
✔ PECOS✔ Accepts Medicare0.3 mi
Sophie Arkin
Clinical Psychologist
NPI 1760031215
355 TOWER RD NE
Marietta, GA 30060
(470) 267-1580
✔ PECOS✔ Accepts Medicare0.3 mi
Mohammad Kamran, MD
Rheumatology
NPI 1811194681
355 TOWER ROAD SUITE 103
Marietta, GA 30060
(770) 420-1690
✔ PECOS✔ Accepts Medicare0.3 mi
Ahmed Al Badri, MD
Interventional Cardiology
NPI 1336406958
55 WHITCHER ST NE STE 350
Marietta, GA 30060
(770) 424-6893
✔ PECOS✔ Accepts Medicare0.3 mi
Atul Bhatnagar, D.O.
Critical Care (Intensivists)
NPI 1871595744
55 WHITCHER ST NE SUITE 160
Marietta, GA 30060
(770) 422-1372
✔ PECOS✔ Accepts Medicare0.3 mi
Avery Calhoun
Hospitalist
NPI 1669932083
55 WHITCHER ST NE STE 350
Marietta, GA 30060
(770) 424-6893
✔ PECOS0.3 mi
See all 3,853 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 1124451190. It was assigned to this organization in the NPPES registry on August 14, 2013. The provider is doing business as Wellstar Summit Surgical.

Where is Wellstar Medical Group, LLC located?

Wellstar Medical Group, LLC is located at 590 Nancy St NW, Marietta, GA 30060. The listed phone number is (770) 423-0395.

What is Wellstar Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

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), 3,853 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, 6 practice at this address and 1,133 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Wellstar Medical Group, LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Wellstar Medical Group, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.