WELLSTAR SOUTH COBB OB/GYN
NPI 1134425283
Obstetrics & Gynecology in Austell, GA

Active since February 08, 2011CLIA 11D2062463 · Microscopy
1700 HOSPITAL SOUTH DR, SUITE 500, AUSTELL, GA 30106(770) 941-7717(770) 948-9729 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 South Cobb Ob/gyn NPPES

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

WELLSTAR SOUTH COBB OB/GYN (NPI 1134425283) is a healthcare organization registered as an obstetrics & gynecology in Austell, Georgia and active in the NPI registry since February 2011. The organization holds a CLIA Microscopy certificate valid through November 16, 2026 and lists Nicole Ashe, Executive Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1134425283
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameWELLSTAR MEDICAL GROUP, LLC
Location Address1700 HOSPITAL SOUTH DR, SUITE 500Austell, GA 30106-6810
Mailing Address1700 Hospital South Dr, Suite 500Austell, GA 30106-6810 · (770) 941-7717 · Fax (770) 948-9729
Fax(770) 948-9729
Organization SubpartYes
Authorized OfficialNicole AsheExecutive Director Of Finance · (470) 644-0095
Enumeration DateFebruary 8, 2011
Last NPPES UpdateNovember 19, 2013
✔ NPI 1134425283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1700 HOSPITAL SOUTH DR, Austell, GA 30106

Other Names 1

Doing Business AsWellstar South Cobb Ob/gyn

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 South Cobb Ob/gyn 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 South Cobb Ob/Gyn, which bills Medicare for the services they deliver. Of these, 41 practice at this address and 1,014 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
Cardiovascular Disease (Cardiology)
NPI 1700854213
1700 HOSPITAL SOUTH DR SUITE 409
Austell, GA 30106
(770) 732-9100
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1841478856
1700 HOSPITAL SOUTH DR SUITE 409
Austell, GA 30106
(770) 424-6893
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1154703874
1700 HOSPITAL SOUTH DR STE 202
Austell, GA 30106
(770) 944-7818
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1063415016
1700 HOSPITAL SOUTH DR STE 502
Austell, GA 30106
(943) 202-7070
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1548250491
1700 HOSPITAL SOUTH DR SUITE 500
Austell, GA 30106
(770) 941-7717
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1285224014
1700 HOSPITAL SOUTH DR STE 404
Austell, GA 30106
(770) 428-4475
✔ PECOS✔ Accepts MedicareSame address
Infectious Disease
NPI 1821593476
1700 HOSPITAL SOUTH DR STE 402
Austell, GA 30106
(770) 739-8282
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1225028178
1700 HOSPITAL SOUTH DR SUITE 500
Austell, GA 30106
(770) 941-7717
✔ PECOS✔ Accepts MedicareSame address
Neurosurgery
NPI 1003179425
1700 HOSPITAL SOUTH DR STE 102
Austell, GA 30106
(470) 956-4410
✔ PECOSSame address
Certified Nurse Midwife (CNM)
NPI 1053740340
1700 HOSPITAL SOUTH DR SUITE 500
Austell, GA 30106
(770) 941-7717
✔ PECOSSame address
General Surgery
NPI 1811421449
1700 HOSPITAL SOUTH DR STE 202
Austell, GA 30106
(770) 944-7818
✔ PECOS✔ Accepts MedicareSame address
Hematology/Oncology
NPI 1326003872
1700 HOSPITAL SOUTH DR STE 300
Austell, GA 30106
(770) 944-2830
✔ PECOS✔ Accepts MedicareSame address
Certified Nurse Midwife (CNM)
NPI 1093203820
1700 HOSPITAL SOUTH DR STE 500
Austell, GA 30106
(770) 941-7717
✔ PECOSSame address
Infectious Disease
NPI 1235234527
1700 HOSPITAL SOUTH DRIVE SUITE 402
Austell, GA 30106
(770) 739-8282
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1881120301
1700 HOSPITAL SOUTH DR STE 202
Austell, GA 30106
(770) 944-7818
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1730526542
1700 HOSPITAL SOUTH DR STE 500
Austell, GA 30106
(770) 941-7717
✔ PECOSSame address
Hematology/Oncology
NPI 1689817041
1700 HOSPITAL SOUTH DR STE 300
Austell, GA 30106
(770) 944-2830
✔ PECOS✔ Accepts MedicareSame address
Interventional Cardiology
NPI 1497044259
1700 HOSPITAL SOUTH DR STE 409
Austell, GA 30106
(770) 732-9100
✔ PECOS✔ Accepts MedicareSame address
Gynecological Oncology
NPI 1710976048
1700 HOSPITAL SOUTH DR SUITE 102
Austell, GA 30106
(770) 792-6262
✔ PECOSSame address
Psychiatry
NPI 1609396035
1625 HOSPITAL NORTH DR STE 150
Austell, GA 30106
(470) 732-6950
✔ 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.

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 for Provider-Performed Microscopy Procedures (PPMP) 11D2062463

Wellstar South Cobb Obgyn Vhp · Smyrna, GA
Active · expires Nov 16, 2026
CLIA Number11D2062463
Laboratory TypePhysician Office
Certificate Effective DateNovember 17, 2024
Certificate Expiration DateNovember 16, 2026
Laboratory DirectorSupriya Rao
Laboratory Phone(770) 941-7717
Laboratory LocationWellstar South Cobb Obgyn Vhp4441 Atlanta Road, SE, Suite 206, Smyrna, GA 30080
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 1134425283. It was assigned to this organization in the NPPES registry on February 8, 2011. The provider is doing business as Wellstar South Cobb Ob/Gyn.

Where is Wellstar Medical Group, LLC located?

Wellstar Medical Group, LLC is located at 1700 Hospital South Dr Suite 500, Austell, GA 30106. The listed phone number is (770) 941-7717.

What is Wellstar Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

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, 41 practice at this address and 1,014 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Wellstar Medical Group, LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 11D2062463) is associated with this NPI, valid through November 16, 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 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.