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WELLSTAR SHALLOWFORD MEDICAL CENTER
NPI 1174829741
Internal Medicine in Marietta, GA

Active since January 31, 2011
3921 SHALLOWFORD RD, MARIETTA, GA 30062(770) 649-9100(770) 649-9092 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 Shallowford Medical Center NPPES

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

WELLSTAR SHALLOWFORD MEDICAL CENTER (NPI 1174829741) is a healthcare organization registered as an internal medicine in Marietta, Georgia and active in the NPI registry since January 2011. The organization lists Nicole Ashe, Executive Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1174829741
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameWELLSTAR MEDICAL GROUP, LLC
Location Address3921 SHALLOWFORD RDMarietta, GA 30062-5013
Mailing Address3921 Shallowford RdMarietta, GA 30062-5013 · (770) 649-9100 · Fax (770) 649-9092
Phone(770) 649-9100
Fax(770) 649-9092
Organization SubpartYes
Authorized OfficialNicole AsheExecutive Director Of Finance · (470) 644-0095
Enumeration DateJanuary 31, 2011
Last NPPES UpdateNovember 19, 2013
✔ NPI 1174829741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
3921 SHALLOWFORD RD, Marietta, GA 30062
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Other Names 1

Doing Business AsWellstar Shallowford Medical Center

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

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.

WELLSTAR SHALLOWFORD MEDICAL CENTER, LLC
Internal Medicine
3921 SHALLOWFORD RD
MARIETTA, GA 30062
Cobb County (770) 649-9100
DR. REAZ SIDDIQUI M.D.
Internal Medicine
3921 SHALLOWFORD RD
MARIETTA, GA 30062
Cobb County (770) 649-0049
DR. FOLAKE OLUMAYOWA TAYLOR M.D.
Internal Medicine
3921 SHALLOWFORD RD
MARIETTA, GA 30062
Cobb County (770) 649-0049

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 1174829741. It was assigned to this organization in the NPPES registry on January 31, 2011. The provider is doing business as Wellstar Shallowford Medical Center.

Where is Wellstar Medical Group, LLC located?

Wellstar Medical Group, LLC is located at 3921 Shallowford Rd, Marietta, GA 30062. The listed phone number is (770) 649-9100.

What is Wellstar Medical Group, LLC's specialty?

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

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.