WELLSTAR DOUGLAS SURGICAL ASSOCIATES
NPI 1164715132
Surgery in Douglasville, GA

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

The NPI number for Wellstar Medical Group, LLC is 1164715132. It was assigned to this organization in the NPPES registry on May 24, 2011. The provider is doing business as Wellstar Douglas Surgical Associates.

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

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

Active since May 24, 2011

4904 TIMBER RIDGE DR, SUITE 104, DOUGLASVILLE, GA 30135(770) 942-4822(770) 942-5311 Get Directions Write a Review

NPPES record last updated: November 19, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Wellstar Douglas Surgical Associates NPPES

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

WELLSTAR DOUGLAS SURGICAL ASSOCIATES (NPI 1164715132) is a healthcare organization registered as a surgery in Douglasville, Georgia and active in the NPI registry since May 2011. The organization lists Nicole Ashe, Executive Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1164715132

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameWELLSTAR MEDICAL GROUP, LLC

Location Address4904 TIMBER RIDGE DR, SUITE 104Douglasville, GA 30135-1828

Mailing Address4904 Timber Ridge Dr, Suite 104Douglasville, GA 30135-1828 · (770) 942-4822 · Fax (770) 942-5311

Phone(770) 942-4822

Fax(770) 942-5311

Organization SubpartYes

Authorized OfficialNicole AsheExecutive Director Of Finance · (470) 644-0095

Enumeration DateMay 24, 2011

Last NPPES UpdateNovember 19, 2013

✔ NPI 1164715132 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.

4904 TIMBER RIDGE DR, Douglasville, GA 30135

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Other Names 1

Doing Business AsWellstar Douglas Surgical Associates

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 Douglas Surgical Associates 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 Douglas Surgical Associates, which bills Medicare for the services they deliver. Of these, 116 practice 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

Karen Castle, FNP

Nurse Practitioner

NPI 1639311335

4904 TIMBER RIDGE DR SUITE 104
Douglasville, GA 30135

(770) 942-4822

✔ PECOS✔ Accepts MedicareSame address

William Griffith, MD

General Surgery

NPI 1144293598

4904 TIMBER RIDGE DR SUITE 104
Douglasville, GA 30135

(770) 949-4000

✔ PECOS✔ Accepts MedicareSame address

Lei Liu, MD

General Surgery

NPI 1518195601

4904 TIMBER RIDGE DR STE 104
Douglasville, GA 30135

(770) 942-4822

✔ PECOS✔ Accepts MedicareSame address

James Brannon, MD

General Surgery

NPI 1598779977

4904 TIMBER RIDGE DR STE 104
Douglasville, GA 30135

(770) 942-4822

✔ PECOS✔ Accepts Medicare0.1 mi

Monica Ballard

Nurse Practitioner

NPI 1568028959

9390 THE LANDING DR
Douglasville, GA 30135

(770) 947-1112

✔ PECOS✔ Accepts Medicare0.3 mi

Laurel Barras, MD

Orthopedic Surgery

NPI 1194189787

8901 STONEBRIDGE BLVD STE 200
Douglasville, GA 30134

(943) 202-7030

✔ PECOS✔ Accepts Medicare0.5 mi

Ravi Metai, MD

Hospitalist

NPI 1912304585

8954 HOSPITAL DR
Douglasville, GA 30134

(678) 838-2585

✔ PECOS✔ Accepts Medicare0.6 mi

Paula Adamson, M.D.

Gastroenterology

NPI 1194163105

8901 STONEBRIDGE BLVD STE 200
Douglasville, GA 30134

(943) 202-7120

✔ PECOS✔ Accepts Medicare0.6 mi

Kolade Obajuluwa, M.D.

Pediatric Medicine

NPI 1184859027

6043 PRESTLEY MILL RD STE E
Douglasville, GA 30134

(770) 920-2255

✔ PECOS0.6 mi

Michael Piansky, M.D.

Internal Medicine

NPI 1023087491

6043 PRESTLEY MILL RD STE B
Douglasville, GA 30134

(770) 941-8100

✔ PECOS0.6 mi

Christopher Watts, M.D.

Infectious Disease

NPI 1194884916

6043 PRESTLEY MILL RD SUITE C
Douglasville, GA 30134

(770) 920-3076

✔ PECOS✔ Accepts Medicare0.6 mi

Kathryn Norton, DNP, AGACNP, ACNS

Certified Clinical Nurse Specialist (CNS)

NPI 1881990778

8954 HOSPITAL DRIVE
Douglasville, GA 30134

(770) 949-1500

✔ PECOS✔ Accepts Medicare0.6 mi

Charles Eaddy

Family Practice

NPI 1922635226

8820 HOSPITAL DR
Douglasville, GA 30134

(770) 947-3000

✔ PECOS✔ Accepts Medicare0.7 mi

Brett Cannon, MD

Emergency Medicine

NPI 1124132386

8954 HOSPITAL DR
Douglasville, GA 30134

(770) 920-6420

✔ PECOS✔ Accepts Medicare0.7 mi

Raeonda Bullard, MD

Obstetrics/Gynecology

NPI 1144713652

6095 PROFESSIONAL PKWY STE A210
Douglasville, GA 30134

(770) 949-4188

✔ PECOS0.8 mi

Punit Vachharajani, MD

Critical Care (Intensivists)

NPI 1235591801

6095 PROFESSIONAL PKWY STE A200
Douglasville, GA 30134

(770) 422-1372

✔ PECOS✔ Accepts Medicare0.8 mi

Cheryl Augenstein, MD

Pulmonary Disease

NPI 1801259528

6095 PROFESSIONAL PKWY STE A200
Douglasville, GA 30134

(770) 422-1372

✔ PECOS✔ Accepts Medicare0.8 mi

Shannon Colvin, RNC CNM

Certified Nurse Midwife (CNM)

NPI 1366672107

6095 PROFESSIONAL PKWY SUITE A210
Douglasville, GA 30134

(770) 949-4188

✔ PECOS0.8 mi

Gray Akoegbe, MD

Cardiovascular Disease (Cardiology)

NPI 1043659840

6001 PROFESSIONAL PKWY STE 2080
Douglasville, GA 30134

(678) 715-5080

✔ PECOS✔ Accepts Medicare0.8 mi

Jared Breyley, M.D.

Interventional Cardiology

NPI 1144466426

6001 PROFESSIONAL PKWY STE 2080
Douglasville, GA 30134

(678) 715-5080

✔ PECOS✔ Accepts Medicare0.8 mi

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.

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 1164715132. It was assigned to this organization in the NPPES registry on May 24, 2011. The provider is doing business as Wellstar Douglas Surgical Associates.

Where is Wellstar Medical Group, LLC located?

Wellstar Medical Group, LLC is located at 4904 Timber Ridge Dr Suite 104, Douglasville, GA 30135. The listed phone number is (770) 942-4822.

What is Wellstar Medical Group, LLC's specialty?

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

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, 116 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.