WELLSTAR EAST COBB MEDICAL CENTER
NPI 1194021733
Family Medicine in Marietta, GA

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

The NPI number for Wellstar Medical Group, LLC is 1194021733. It was assigned to this organization in the NPPES registry on January 30, 2011. The provider is doing business as Wellstar East Cobb Medical Center.

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

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since January 30, 2011CLIA 11D0255284 · Waiver

1010 JOHNSON FERRY RD, MARIETTA, GA 30068(770) 579-7980(770) 579-7942 Get Directions Write a Review

NPPES record last updated: November 19, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Wellstar East Cobb Medical Center NPPES

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

WELLSTAR EAST COBB MEDICAL CENTER (NPI 1194021733) is a healthcare organization registered as a family medicine in Marietta, Georgia and active in the NPI registry since January 2011. The organization holds a CLIA Waiver certificate valid through January 10, 2028 and lists Nicole Ashe, Executive Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1194021733

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameWELLSTAR MEDICAL GROUP, LLC

Location Address1010 JOHNSON FERRY RDMarietta, GA 30068-2108

Mailing Address1010 Johnson Ferry RdMarietta, GA 30068-2108 · (770) 579-7980 · Fax (770) 579-7942

Phone(770) 579-7980

Fax(770) 579-7942

Organization SubpartYes

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

Enumeration DateJanuary 30, 2011

Last NPPES UpdateNovember 19, 2013

✔ NPI 1194021733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1010 JOHNSON FERRY RD, Marietta, GA 30068

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Other Names 1

Doing Business AsWellstar East Cobb 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

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 11D0255284

Wellstar East Cobb Medical Center · Marietta, GA

Active · expires Jan 10, 2028

CLIA Number11D0255284

Laboratory TypePhysician Office

Certificate Effective DateJanuary 11, 2026

Certificate Expiration DateJanuary 10, 2028

Laboratory DirectorJulie Patel

Laboratory Phone(770) 579-7980

Laboratory LocationWellstar East Cobb Medical Center1010 Johnson Ferry Rd, Marietta, GA 30068

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 20

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

DR. YEN-I GRACE CHEN M.D.

Family Medicine