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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: August 09, 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
Phone(770) 941-7717
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
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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

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.

Other Providers at the Same Location NPPES 20

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

MS. COLETTE M TETREAULT CNM
Advanced Practice Midwife
1700 HOSPITAL SOUTH DR, SUITE 500
AUSTELL, GA 30106
Cobb County (770) 941-7717
THE HEART CLINIC, P.C.
Internal Medicine (Cardiovascular Disease)
1700 HOSPITAL SOUTH DR, SUITE 302
AUSTELL, GA 30106
Cobb County (770) 739-0999
MRS. STEPHANIE R BONHAUS CNM
Advanced Practice Midwife
1700 HOSPITAL SOUTH DR, SUITE 500
AUSTELL, GA 30106
Cobb County (771) 941-7717
EMILY A GOOLSBY CNM
Advanced Practice Midwife
1700 HOSPITAL SOUTH DR, SUITE 500
AUSTELL, GA 30106
Cobb County (770) 941-7717
MR. MICHAEL DAMIEN RODRIGUEZ MSW
Social Worker (Clinical)
1700 HOSPITAL SOUTH DR, SUITE 102
AUSTELL, GA 30106
Cobb County (770) 948-3233
DR. JACOB NATHAN BLATT M.D.
Internal Medicine (Clinical Cardiac Electrophysiology)
1700 HOSPITAL SOUTH DR, SUITE 409
AUSTELL, GA 30106
Cobb County (770) 424-6893
JEFFREY F HINES MD
Obstetrics & Gynecology (Gynecologic Oncology)
1700 HOSPITAL SOUTH DR, SUITE 102
AUSTELL, GA 30106
Cobb County (770) 792-6262
DR. MICAH R. TEPPER M.D.
Internal Medicine (Cardiovascular Disease)
1700 HOSPITAL SOUTH DR, SUITE 409
AUSTELL, GA 30106
Cobb County (770) 732-9100

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.

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.