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WELLSTAR NORTH COBB PEDIATRICS, LLC
NPI 1174565311
Pediatrics in Kennesaw, GA

Active since June 12, 2006CLIA 11D0256651 · Waiver
205 HAWKINS STORE RD, SUITE B-1, KENNESAW, GA 30144(770) 928-0862(770) 928-2286 Get Directions Write a Review

NPPES record last updated: July 14, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Wellstar North Cobb Pediatrics, Llc NPPES

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

WELLSTAR NORTH COBB PEDIATRICS, LLC (NPI 1174565311) is a healthcare organization registered as a pediatrics in Kennesaw, Georgia and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through March 4, 2028 and lists Nicole Ashe, Executive Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1174565311
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameWELLSTAR NORTH COBB PEDIATRICS, LLC
Location Address205 HAWKINS STORE RD, SUITE B-1Kennesaw, GA 30144
Mailing Address205 Hawkins Store Rd, Suite B-1Kennesaw, GA 30144 · (770) 928-0862 · Fax (770) 928-2286
Phone(770) 928-0862
Fax(770) 928-2286
Organization SubpartYesParent: Wellstar Health System, Inc.
Authorized OfficialNicole AsheExecutive Director Of Finance · (770) 792-5261
Enumeration DateJune 12, 2006
Last NPPES UpdateJuly 14, 2008
✔ NPI 1174565311 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.
205 HAWKINS STORE RD, Kennesaw, GA 30144
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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 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 11D0256651

Wellstar North Cobb Pediatrics · Kennesaw, GA
Active · expires Mar 4, 2028
CLIA Number11D0256651
Laboratory TypePhysician Office
Certificate Effective DateMarch 5, 2026
Certificate Expiration DateMarch 4, 2028
Laboratory DirectorNadine H. Thomas
Laboratory Phone(770) 928-0862
Laboratory LocationWellstar North Cobb Pediatrics205 Hawkins Store Road, Kennesaw, GA 30144
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 3

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

DR. DEANNA STEWART MD
Pediatrics
205 HAWKINS STORE RD, SUITE B 1
KENNESAW, GA 30144
Cobb County (770) 928-0862
DR. CHARLES L HUTCHINSON MD
Pediatrics
205 HAWKINS STORE RD, SUITE B 1
KENNESAW, GA 30144
Cobb County (770) 928-0862
DR. JEFFREY H HASTY MD
Pediatrics
205 HAWKINS STORE RD, SUITE B 1
KENNESAW, GA 30144
Cobb County (770) 928-0862

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 North Cobb Pediatrics, LLC's NPI number?

The NPI number for Wellstar North Cobb Pediatrics, LLC is 1174565311. It was assigned to this organization in the NPPES registry on June 12, 2006.

Where is Wellstar North Cobb Pediatrics, LLC located?

Wellstar North Cobb Pediatrics, LLC is located at 205 Hawkins Store Rd Suite B-1, Kennesaw, GA 30144. The listed phone number is (770) 928-0862.

What is Wellstar North Cobb Pediatrics, LLC's specialty?

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

Does Wellstar North Cobb Pediatrics, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0256651) is associated with this NPI, valid through March 4, 2028. 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 North Cobb Pediatrics, LLC was last updated on July 14, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.