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WELLSTAR INFECTIOUS DISEASE (DOUGLAS)
NPI 1194078170
Internal Medicine - Infectious Disease in Douglasville, GA

Active since October 16, 2012
6043 PRESTLEY MILL RD, SUITE C, DOUGLASVILLE, GA 30134(770) 920-3076(770) 949-8969 Get Directions Write a Review

NPPES record last updated: May 27, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Wellstar Infectious Disease (douglas) NPPES

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

WELLSTAR INFECTIOUS DISEASE (DOUGLAS) (NPI 1194078170) is a healthcare organization registered as an infectious disease in Douglasville, Georgia and active in the NPI registry since October 2012. The organization lists Nicole Ashe, Executive Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1194078170
Entity TypeOrganization
Primary Taxonomy207RI0200X
Legal Business NameWELLSTAR MEDICAL GROUP, LLC
Location Address6043 PRESTLEY MILL RD, SUITE CDouglasville, GA 30134-2280
Mailing Address6043 Prestley Mill Rd, Suite CDouglasville, GA 30134-2280 · (770) 920-3076 · Fax (770) 949-8969
Phone(770) 920-3076
Fax(770) 949-8969
Organization SubpartYes
Authorized OfficialNicole AsheExecutive Director Of Finance · (470) 644-0095
Enumeration DateOctober 16, 2012
Last NPPES UpdateMay 27, 2015
✔ NPI 1194078170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
6043 PRESTLEY MILL RD, Douglasville, GA 30134
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Other Names 1

Doing Business AsWellstar Infectious Disease (douglas)

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 Infectious Disease (douglas) 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 Infectious Disease (douglas), which bills Medicare for the services they deliver. Of these, 6 practice at this address and 117 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
Tracy Jones, FNP.C
Nurse Practitioner
NPI 1801858527
6043 PRESTLEY MILL RD SUITE D
Douglasville, GA 30134
(770) 739-9555
✔ PECOS✔ Accepts MedicareSame address
Kolade Obajuluwa, M.D.
Pediatric Medicine
NPI 1184859027
6043 PRESTLEY MILL RD STE E
Douglasville, GA 30134
(770) 920-2255
✔ PECOSSame address
Michael Piansky, M.D.
Internal Medicine
NPI 1023087491
6043 PRESTLEY MILL RD STE B
Douglasville, GA 30134
(770) 941-8100
✔ PECOSSame address
Hironobu Takeda, DO
Internal Medicine
NPI 1164929568
6043 PRESTLEY MILL RD STE B
Douglasville, GA 30134
(770) 941-8100
✔ PECOS✔ Accepts MedicareSame address
Christopher Watts, M.D.
Infectious Disease
NPI 1194884916
6043 PRESTLEY MILL RD SUITE C
Douglasville, GA 30134
(770) 920-3076
✔ PECOS✔ Accepts MedicareSame address
Suzette Whilby, NP
Nurse Practitioner
NPI 1194361782
6043 PRESTLEY MILL RD STE B
Douglasville, GA 30134
(770) 941-8100
✔ PECOS✔ Accepts MedicareSame address
Tanyetta Brown, FNP
Nurse Practitioner
NPI 1619506532
8901 STONEBRIDGE BLVD STE 100
Douglasville, GA 30134
(943) 202-7100
✔ PECOS✔ Accepts MedicareSame address
Carensa Cezar
Gastroenterology
NPI 1124587001
8901 STONEBRIDGE BLVD STE 200
Douglasville, GA 30134
(470) 610-0145
✔ PECOS✔ Accepts MedicareSame address
Adero Francis, MD
Infectious Disease
NPI 1184187205
6043 PRESTLEY MILL RD STE C
Douglasville, GA 30134
(770) 920-3076
✔ PECOS✔ Accepts Medicare0.1 mi
Paula Adamson, M.D.
Gastroenterology
NPI 1194163105
8901 STONEBRIDGE BLVD STE 200
Douglasville, GA 30134
(943) 202-7120
✔ PECOS✔ Accepts Medicare0.1 mi
Marjorie Parker, NP
Nurse Practitioner
NPI 1457060196
8901 STONEBRIDGE BLVD STE 200
Douglasville, GA 30134
(943) 202-7120
✔ PECOS✔ Accepts Medicare0.1 mi
Laurel Barras, MD
Orthopedic Surgery
NPI 1194189787
8901 STONEBRIDGE BLVD STE 200
Douglasville, GA 30134
(943) 202-7030
✔ PECOS✔ Accepts Medicare0.1 mi
Hanna Hirpo, MD
Hospitalist
NPI 1063041127
8954 HOSPITAL DR
Douglasville, GA 30134
(678) 838-2585
✔ PECOS✔ Accepts Medicare0.1 mi
Charles Eaddy
Family Practice
NPI 1922635226
8820 HOSPITAL DR
Douglasville, GA 30134
(770) 947-3000
✔ PECOS✔ Accepts Medicare0.1 mi
Nathan Mcginnis, MD
Internal Medicine
NPI 1952622987
8820 HOSPITAL DR
Douglasville, GA 30134
(770) 947-3000
✔ PECOS✔ Accepts Medicare0.1 mi
Brett Cannon, MD
Emergency Medicine
NPI 1124132386
8954 HOSPITAL DR
Douglasville, GA 30134
(770) 920-6420
✔ PECOS✔ Accepts Medicare0.1 mi
Rachel Cohen, MD
Pediatric Medicine
NPI 1801058607
8954 HOSPITAL DR
Douglasville, GA 30134
(470) 644-6172
✔ PECOS0.1 mi
Kathryn Norton, DNP, AGACNP, ACNS
Certified Clinical Nurse Specialist (CNS)
NPI 1881990778
8954 HOSPITAL DRIVE
Douglasville, GA 30134
(770) 949-1500
✔ PECOS✔ Accepts Medicare0.2 mi
Raeonda Bullard, MD
Obstetrics/Gynecology
NPI 1144713652
6095 PROFESSIONAL PKWY STE A210
Douglasville, GA 30134
(770) 949-4188
✔ PECOS0.2 mi
Punit Vachharajani, MD
Critical Care (Intensivists)
NPI 1235591801
6095 PROFESSIONAL PKWY STE A200
Douglasville, GA 30134
(770) 422-1372
✔ PECOS✔ Accepts Medicare0.2 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 1194078170. It was assigned to this organization in the NPPES registry on October 16, 2012. The provider is doing business as Wellstar Infectious Disease (douglas).

Where is Wellstar Medical Group, LLC located?

Wellstar Medical Group, LLC is located at 6043 Prestley Mill Rd Suite C, Douglasville, GA 30134. The listed phone number is (770) 920-3076.

What is Wellstar Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

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, 6 practice at this address and 117 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 May 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.