WELLSTAR SUMMIT SURGICAL
NPI 1124451190
Surgery in Marietta, GA

Q: 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.

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

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

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: August 02, 2026.

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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 ›

Other Providers at the Same Location NPPES 10

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

GARY S HATHAWAY MD

Surgery