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WELLSTAR WEST COBB MEDICAL CENTER
NPI 1164728770
Internal Medicine in Marietta, GA

Active since January 28, 2011CLIA 11D0684378 · Waiver
3707 LARGENT WAY NW, MARIETTA, GA 30064(678) 581-5729(678) 581-5719 Get Directions Write a Review

NPPES record last updated: November 19, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wellstar West Cobb Medical Center NPPES

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

WELLSTAR WEST COBB MEDICAL CENTER (NPI 1164728770) is a healthcare organization registered as an internal medicine in Marietta, Georgia and active in the NPI registry since January 2011. The organization holds a CLIA Waiver certificate valid through October 23, 2026 and lists Nicole Ashe, Executive Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1164728770
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameWELLSTAR MEDICAL GROUP, LLC
Location Address3707 LARGENT WAY NWMarietta, GA 30064-1672
Mailing Address3707 Largent Way NwMarietta, GA 30064-1672 · (678) 581-5729 · Fax (678) 581-5719
Phone(678) 581-5729
Fax(678) 581-5719
Organization SubpartYes
Authorized OfficialNicole AsheExecutive Director Of Finance · (470) 644-0095
Enumeration DateJanuary 28, 2011
Last NPPES UpdateNovember 19, 2013
✔ NPI 1164728770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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
Also ListedPediatricsTaxonomy 208000000X
3707 LARGENT WAY NW, Marietta, GA 30064
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Other Names 1

Doing Business AsWellstar West Cobb Medical Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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 11D0684378

Wellstar Medical Group West Cobb Med Ctr · Marietta, GA
Active · expires Oct 23, 2026
CLIA Number11D0684378
Laboratory TypePhysician Office
Certificate Effective DateOctober 24, 2024
Certificate Expiration DateOctober 23, 2026
Laboratory DirectorDaniel Saade
Laboratory Phone(678) 581-5729
Laboratory LocationWellstar Medical Group West Cobb Med Ctr3707 Largent Way NW, Marietta, GA 30064
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 11

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

NEETY PATEL M.D.
Family Medicine
3707 LARGENT WAY NW
MARIETTA, GA 30064
Cobb County (678) 581-5830
DR. LORI SPITZER CORLEY MD
Pediatrics
3707 LARGENT WAY NW
MARIETTA, GA 30064
Cobb County (678) 581-5729
RON ALLEYNE MD
Family Medicine (Obesity Medicine)
3707 LARGENT WAY NW
MARIETTA, GA 30064
Cobb County (678) 581-5729
WELLSTAR WEST COBB MEDICAL CENTER, LLC
Family Medicine
3707 LARGENT WAY NW
MARIETTA, GA 30064
Cobb County (678) 581-5729
KRISTIN BOST GAFFNEY PA-C, MSPAS
Physician Assistant (Medical)
3707 LARGENT WAY NW
MARIETTA, GA 30064
Cobb County (678) 581-5729
DR. ESHAMUMERENE ESIN M.D
Family Medicine
3707 LARGENT WAY NW
MARIETTA, GA 30064
Cobb County (678) 581-5729
ANYUN MA
Family Medicine
3707 LARGENT WAY NW
MARIETTA, GA 30064
Cobb County (678) 581-5830
ANGELA HERRINGTON FNP
Nurse Practitioner (Family)
3707 LARGENT WAY NW
MARIETTA, GA 30064
Cobb County (678) 581-5729

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 1164728770. It was assigned to this organization in the NPPES registry on January 28, 2011. The provider is doing business as Wellstar West Cobb Medical Center.

Where is Wellstar Medical Group, LLC located?

Wellstar Medical Group, LLC is located at 3707 Largent Way NW, Marietta, GA 30064. The listed phone number is (678) 581-5729.

What is Wellstar Medical Group, LLC's specialty?

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

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

Yes. A Certificate of Waiver (number 11D0684378) is associated with this NPI, valid through October 23, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Wellstar Medical Group, LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Wellstar Medical Group, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.