WELLSTAR TOWNE LAKE MEDICAL CENTER, LLC
NPI 1164478426
Internal Medicine in Woodstock, GA

Q: What is Wellstar Towne Lake Medical Center, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since May 26, 2006CLIA 11D0256897 · Waiver

145 N MEDICAL PKWY, WOODSTOCK, GA 30189(770) 592-3000(770) 592-3012 Get Directions Write a Review

NPPES record last updated: July 14, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Wellstar Towne Lake Medical Center, Llc NPPES

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

WELLSTAR TOWNE LAKE MEDICAL CENTER, LLC (NPI 1164478426) is a healthcare organization registered as an internal medicine in Woodstock, Georgia and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through March 7, 2027 and lists Nicole Ashe, Executive Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1164478426

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameWELLSTAR TOWNE LAKE MEDICAL CENTER, LLC

Location Address145 N MEDICAL PKWYWoodstock, GA 30189-7031

Mailing Address145 N Medical PkwyWoodstock, GA 30189-7031 · (770) 592-3000 · Fax (770) 592-3012

Phone(770) 592-3000

Fax(770) 592-3012

Organization SubpartYesParent: Wellstar Health System, Inc.

Authorized OfficialNicole AsheExecutive Director Of Finance · (770) 792-5261

Enumeration DateMay 26, 2006

Last NPPES UpdateJuly 14, 2008

✔ NPI 1164478426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedFamily MedicineTaxonomy 207Q00000X

145 N MEDICAL PKWY, Woodstock, GA 30189

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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 MULTIPLE 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 of Waiver 11D0256897

Wellstar Towne Lake Medical Group · Woodstock, GA

Active · expires Mar 7, 2027

CLIA Number11D0256897

Laboratory TypePhysician Office

Certificate Effective DateMarch 8, 2025

Certificate Expiration DateMarch 7, 2027

Laboratory DirectorKeerthi Mulamalla

Laboratory Phone(770) 592-3000

Laboratory LocationWellstar Towne Lake Medical Group145 North Medical Pkwy, Woodstock, GA 30189

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 17

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

WELLSTAR MEDICAL GROUP, LLC

Pediatrics