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WELLSTAR INTERNAL MEDICINE AT PRINCETON LAKES
NPI 1205267192
Internal Medicine in Atlanta, GA

Active since December 03, 2013
3885 PRINCETON LAKES WAY SW, SUITE 300, ATLANTA, GA 30331(404) 344-0059(404) 344-0059 Get Directions Write a Review

NPPES record last updated: December 3, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Wellstar Internal Medicine At Princeton Lakes NPPES

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

WELLSTAR INTERNAL MEDICINE AT PRINCETON LAKES (NPI 1205267192) is a healthcare organization registered as an internal medicine in Atlanta, Georgia and active in the NPI registry since December 2013. The organization lists Nicole Ashe, Executive Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1205267192
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameWELLSTAR MEDICAL GROUP, LLC
Location Address3885 PRINCETON LAKES WAY SW, SUITE 300Atlanta, GA 30331-5589
Mailing Address3885 Princeton Lakes Way Sw, Suite 300Atlanta, GA 30331-5589 · (404) 344-0059 · Fax (404) 344-0059
Phone(404) 344-0059
Fax(404) 344-0059
Organization SubpartYes
Authorized OfficialNicole AsheExecutive Director Of Finance · (470) 644-0095
Enumeration DateDecember 3, 2013
✔ NPI 1205267192 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.
3885 PRINCETON LAKES WAY SW, Atlanta, GA 30331
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Other Names 1

Doing Business AsWellstar Internal Medicine At Princeton Lakes

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 Internal Medicine At Princeton Lakes 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 Internal Medicine At Princeton Lakes, which bills Medicare for the services they deliver. Of these, 66 practice 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
Dolapo Gbadehan, NP
Nurse Practitioner
NPI 1477252047
3890 REDWINE RD SW STE 100
Atlanta, GA 30331
(404) 344-0059
✔ PECOS✔ Accepts Medicare0.1 mi
Danielle Ortega, DO
Family Practice
NPI 1619408051
3890 REDWINE RD SW STE 100
Atlanta, GA 30331
(404) 344-0059
✔ PECOS✔ Accepts Medicare0.1 mi
Dara Paul, MD
Obstetrics/Gynecology
NPI 1588659908
3890 REDWINE RD SW STE 210
Atlanta, GA 30331
(404) 346-3417
✔ PECOS✔ Accepts Medicare0.1 mi
Lorenza Simmons, M.D.
Obstetrics/Gynecology
NPI 1386737070
3886 PRINCETON LAKES WAY SW SUITE 280
Atlanta, GA 30331
(404) 346-7100
✔ PECOS✔ Accepts Medicare0.1 mi
Frank Crisona, M.D.
Internal Medicine
NPI 1194175562
3890 REDWINE RD SW STE 100
Atlanta, GA 30331
(404) 344-0059
✔ PECOS✔ Accepts Medicare0.1 mi
Daniel Kim, MD
Family Practice
NPI 1841859014
3890 REDWINE RD SW STE 100
Atlanta, GA 30331
(404) 344-0059
✔ PECOS✔ Accepts Medicare0.1 mi
Tyra Harris, M.D.
Family Practice
NPI 1477727543
3886 PRINCETON LAKES WAY SW SUITE 120
Atlanta, GA 30331
(404) 389-1234
✔ PECOS✔ Accepts Medicare0.1 mi
Nasby Limontas, FNP
Nurse Practitioner
NPI 1770176836
865 N HIGHLAND AVE NE
Atlanta, GA 30306
(772) 307-9638
✔ PECOS✔ Accepts Medicare2.7 mi
Erika Utley
Mental Health Counselor
NPI 1568174571
3185 WASHINGTON RD
East Point, GA 30344
(404) 428-0901
✔ PECOS✔ Accepts Medicare3.0 mi
Osei Whyte, MD
Internal Medicine
NPI 1669727624
2084 HEADLAND DR
Atlanta, GA 30344
(404) 965-5691
✔ PECOS✔ Accepts Medicare3.9 mi
Kyra Harvey, MD
Internal Medicine
NPI 1386745438
3699 CASCADE RD SW SUITE B
Atlanta, GA 30331
(404) 691-7006
✔ PECOS✔ Accepts Medicare4.5 mi
Rodneysha Brown, M.D.
Family Practice
NPI 1205360732
1513 CLEVELAND AVE BLDG 500
Atlanta, GA 30344
(404) 756-1422
✔ PECOS✔ Accepts Medicare4.5 mi
Claire Bush, M.D.
Pediatric Medicine
NPI 1588928873
1422 CLEVELAND AVE
East Point, GA 30344
(404) 766-3337
✔ PECOS4.8 mi
Anthony Fontana, M.D.
Emergency Medicine
NPI 1073831871
1170 CLEVELAND AVE
Atlanta, GA 30344
(404) 466-1170
✔ PECOS✔ Accepts Medicare5.2 mi
Kingsley Agbeyegbe, MD
Hospitalist
NPI 1649234055
1151 CLEVELAND AVE SUITE C
East Point, GA 30344
(404) 305-0004
✔ PECOS✔ Accepts Medicare5.3 mi
Kevin Johnson
Nurse Practitioner
NPI 1508515917
1170 CLEVELAND AVE
East Point, GA 30344
(404) 466-1249
✔ PECOS✔ Accepts Medicare5.3 mi
Fawaz Akbik, M.D.
Critical Care (Intensivists)
NPI 1194784181
1136 CLEVELAND AVE STE 519
East Point, GA 30344
(404) 761-3525
✔ PECOS✔ Accepts Medicare5.3 mi
Vijaykumar Patel, MD
General Surgery
NPI 1316947633
1136 CLEVELAND AVENUE STE 513
East Point, GA 30344
(404) 466-6500
✔ PECOS5.3 mi
Kimberly Carroll, MD
Obstetrics/Gynecology
NPI 1649270869
809 CLEVELAND AVE SW
Atlanta, GA 30315
(404) 767-2536
✔ PECOS5.9 mi
Otega Edukuye, MD
Psychiatry
NPI 1225424195
1701 HARDEE AVE SW
Atlanta, GA 30310
(404) 230-5683
✔ PECOS✔ Accepts Medicare6.3 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 1205267192. It was assigned to this organization in the NPPES registry on December 3, 2013. The provider is doing business as Wellstar Internal Medicine At Princeton Lakes.

Where is Wellstar Medical Group, LLC located?

Wellstar Medical Group, LLC is located at 3885 Princeton Lakes Way SW Suite 300, Atlanta, GA 30331. The listed phone number is (404) 344-0059.

What is Wellstar Medical Group, LLC's specialty?

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

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, 66 practice 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 December 3, 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.