WELLSTAR URGENT CARE IN KENNESAW, LLC
NPI 1225084148
Emergency Medicine in Kennesaw, GA

Q: What is Wellstar Urgent Care In Kennesaw, LLC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Active since May 25, 2006CLIA 11D0256673 · Certificate of Compliance

3805 CHEROKEE ST NW, KENNESAW, GA 30144(770) 426-5665(770) 420-1792 Get Directions Write a Review

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

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About Wellstar Urgent Care In Kennesaw, Llc NPPES

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

WELLSTAR URGENT CARE IN KENNESAW, LLC (NPI 1225084148) is a healthcare organization registered as an emergency medicine in Kennesaw, Georgia and active in the NPI registry since May 2006. The organization holds a CLIA Certificate of Compliance certificate valid through September 15, 2027 and lists Nicole Ashe, Executive Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1225084148

Entity TypeOrganization

Primary Taxonomy207P00000X

Legal Business NameWELLSTAR URGENT CARE IN KENNESAW, LLC

Location Address3805 CHEROKEE ST NWKennesaw, GA 30144-2085

Mailing Address3805 Cherokee St NwKennesaw, GA 30144-2085 · (770) 426-5665 · Fax (770) 420-1792

Phone(770) 426-5665

Fax(770) 420-1792

Organization SubpartYesParent: Wellstar Health System, Inc.

Authorized OfficialNicole AsheExecutive Director Of Finance · (770) 792-5261

Enumeration DateMay 25, 2006

Last NPPES UpdateJuly 14, 2008

✔ NPI 1225084148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

3805 CHEROKEE ST NW, 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 Compliance 11D0256673

Wellstar Urgent Care Kennesaw · Kennesaw, GA

Active · expires Sep 15, 2027

CLIA Number11D0256673

Laboratory TypePhysician Office

Certificate Effective DateSeptember 16, 2025

Certificate Expiration DateSeptember 15, 2027

Laboratory DirectorJethwa Krunal

Laboratory Phone(770) 426-5665

Laboratory LocationWellstar Urgent Care Kennesaw3980 Jiles Road, Kennesaw, GA 30144

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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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. DORLAND BROWN MD

Emergency Medicine