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WELLSTAR TOWNE LAKE PEDIATRICS
NPI 1154627115
Pediatrics in Woodstock, GA

Active since February 08, 2011CLIA 11D0958975 · Waiver
145 N MEDICAL PKWY, WOODSTOCK, GA 30189(770) 517-1900(770) 926-3215 Get Directions Write a Review

NPPES record last updated: November 19, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Wellstar Towne Lake Pediatrics NPPES

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

WELLSTAR TOWNE LAKE PEDIATRICS (NPI 1154627115) is a healthcare organization registered as a pediatrics in Woodstock, Georgia and active in the NPI registry since February 2011. The organization holds a CLIA Waiver certificate valid through December 10, 2027 and lists Nicole Ashe, Executive Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1154627115
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameWELLSTAR MEDICAL GROUP, LLC
Location Address145 N MEDICAL PKWYWoodstock, GA 30189-7031
Mailing Address145 N Medical PkwyWoodstock, GA 30189-7031 · (770) 517-1900 · Fax (770) 926-3215
Phone(770) 517-1900
Fax(770) 926-3215
Organization SubpartYes
Authorized OfficialNicole AsheExecutive Director Of Finance · (470) 644-0095
Enumeration DateFebruary 8, 2011
Last NPPES UpdateNovember 19, 2013
✔ NPI 1154627115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
145 N MEDICAL PKWY, Woodstock, GA 30189
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Other Names 1

Doing Business AsWellstar Towne Lake Pediatrics

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 Towne Lake Pediatrics is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3,852

Medicare enrollment records show 3,852 clinicians reassign Medicare billing to Wellstar Towne Lake Pediatrics, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 775 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 specialties1,759

Nearest to this location (20)

See all 3,852
Kunali Doshi, DO
Family Practice
NPI 1679133813
145 N MEDICAL PKWY
Woodstock, GA 30189
(770) 592-3000
✔ PECOS✔ Accepts MedicareSame address
Susan Kim, M.D.
Family Practice
NPI 1972986768
145 N MEDICAL PKWY
Woodstock, GA 30189
(770) 592-3000
✔ PECOS✔ Accepts MedicareSame address
Stanley Mogelnicki, MD
Internal Medicine
NPI 1164411385
145 N MEDICAL PKWY
Woodstock, GA 30189
(770) 592-3000
✔ PECOS✔ Accepts MedicareSame address
Keerthi Mulamalla, M.D.
Family Practice
NPI 1992907760
145 N MEDICAL PKWY
Woodstock, GA 30189
(770) 592-3000
✔ PECOS✔ Accepts MedicareSame address
James Newlon, DO
Family Practice
NPI 1982693107
145 N MEDICAL PKWY
Woodstock, GA 30189
(770) 592-3000
✔ PECOS✔ Accepts MedicareSame address
Asher Niazi, MD
Internal Medicine
NPI 1851393151
145 N MEDICAL PKWY
Woodstock, GA 30189
(770) 592-3000
✔ PECOS✔ Accepts MedicareSame address
Kelly Nix, FNP, BC
Nurse Practitioner
NPI 1386659928
145 N MEDICAL PKWY
Woodstock, GA 30189
(770) 592-3000
✔ PECOS✔ Accepts MedicareSame address
Sharnee Straub, CNP
Nurse Practitioner
NPI 1962492207
145 N MEDICAL PKWY
Woodstock, GA 30189
(770) 592-3000
✔ PECOS✔ Accepts MedicareSame address
Kenneth Chinsky, M.D.
Pulmonary Disease
NPI 1508833112
120 STONEBRIDGE PKWY STE 320
Woodstock, GA 30189
(770) 422-1372
✔ PECOS✔ Accepts Medicare1.0 mi
Michael Lava, M.D.
Pulmonary Disease
NPI 1861718272
120 STONEBRIDGE PKWY STE 320
Woodstock, GA 30189
(770) 422-1372
✔ PECOS✔ Accepts Medicare1.0 mi
John Lammert, MD
Internal Medicine
NPI 1699727909
900 TOWNE LAKE PKWY STE 210
Woodstock, GA 30189
(770) 592-2300
✔ PECOS✔ Accepts Medicare1.1 mi
Chhavi Noohani, DO
Family Practice
NPI 1003828021
900 TOWNE LAKE PKWY STE. 104
Woodstock, GA 30189
(770) 639-5880
✔ PECOS✔ Accepts Medicare1.1 mi
Tiffany Styles, NP
Nurse Practitioner
NPI 1376307470
900 TOWNE LAKE PKWY STE 104
Woodstock, GA 30189
(770) 772-1830
✔ PECOS✔ Accepts Medicare1.1 mi
Kelly Weselman, MD
Rheumatology
NPI 1952370801
1816 EAGLE DR STE 200-B
Woodstock, GA 30189
(404) 255-5956
✔ PECOS✔ Accepts Medicare1.5 mi
Elijah Gilbert, M.D.
Obstetrics/Gynecology
NPI 1871785493
120 STONEBRIDGE PKWY STE 210
Woodstock, GA 30189
(678) 445-5941
✔ PECOS✔ Accepts Medicare1.5 mi
Redah Mahmood, MD
Cardiovascular Disease (Cardiology)
NPI 1609030394
120 STONEBRIDGE PKWY STE 110
Woodstock, GA 30189
(678) 324-4444
✔ PECOS✔ Accepts Medicare1.5 mi
Elizabeth Nesmith, M.D.
Hospitalist
NPI 1548446248
2001 PROFESSIONAL WAY SUITE 220
Woodstock, GA 30188
(770) 926-7411
✔ PECOS✔ Accepts Medicare2.5 mi
Geoffrey Aaron, M.D.
Otolaryngology
NPI 1225328362
1120 WELLSTAR WAY STE 203
Holly Springs, GA 30114
(470) 267-2310
✔ PECOS✔ Accepts Medicare2.9 mi
Samuel Gold, MD
Pediatric Medicine
NPI 1295725208
1120 WELLSTAR WAY STE 201
Holly Springs, GA 30114
(770) 517-1900
✔ PECOS2.9 mi
Joanna Miragaya, MD, PHD
Endocrinology
NPI 1811192321
1120 WELLSTAR WAY STE 204
Holly Springs, GA 30114
(470) 267-0135
✔ PECOS✔ Accepts Medicare2.9 mi
See all 3,852 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 of Waiver 11D0958975

Wellstar Towne Lake Pediatrics · Woodstock, GA
Active · expires Dec 10, 2027
CLIA Number11D0958975
Laboratory TypePhysician Office
Certificate Effective DateDecember 11, 2025
Certificate Expiration DateDecember 10, 2027
Laboratory DirectorMustafa Quraishi
Laboratory Phone(770) 517-1920
Laboratory LocationWellstar Towne Lake Pediatrics145 N Medical Parkway, Woodstock, GA 30189
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only 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 1154627115. It was assigned to this organization in the NPPES registry on February 8, 2011. The provider is doing business as Wellstar Towne Lake Pediatrics.

Where is Wellstar Medical Group, LLC located?

Wellstar Medical Group, LLC is located at 145 N Medical Pkwy, Woodstock, GA 30189. The listed phone number is (770) 517-1900.

What is Wellstar Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

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), 3,852 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, 8 practice at this address and 775 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 of Waiver (number 11D0958975) is associated with this NPI, valid through December 10, 2027. 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.