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WELLSTAR KENNESTONE OB/GYN
NPI 1245539378
Obstetrics & Gynecology in Marietta, GA

Active since March 15, 2011CLIA 11D0938696 · Microscopy
699 CHURCH ST NE, SUITE 500, MARIETTA, GA 30060(770) 793-9750(770) 919-0581 Get Directions Write a Review

NPPES record last updated: November 18, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Wellstar Kennestone Ob/gyn NPPES

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

WELLSTAR KENNESTONE OB/GYN (NPI 1245539378) is a healthcare organization registered as an obstetrics & gynecology in Marietta, Georgia and active in the NPI registry since March 2011. The organization holds a CLIA Microscopy certificate valid through January 12, 2028 and lists Nicole Ashe, Executive Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1245539378
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameWELLSTAR MEDICAL GROUP, LLC
Location Address699 CHURCH ST NE, SUITE 500Marietta, GA 30060-1110
Mailing Address699 Church St Ne, Suite 500Marietta, GA 30060-1110 · (770) 793-9750 · Fax (770) 919-0581
Phone(770) 793-9750
Fax(770) 919-0581
Organization SubpartYes
Authorized OfficialNicole AsheExecutive Director Of Finance · (470) 644-0095
Enumeration DateMarch 15, 2011
Last NPPES UpdateNovember 18, 2013
✔ NPI 1245539378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

699 CHURCH ST NE, Marietta, GA 30060
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Other Names 1

Doing Business AsWellstar Kennestone Ob/gyn

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 for Provider-Performed Microscopy Procedures (PPMP) 11D0938696

Wellstar Kennestone Ob/Gyn · Marietta, GA
Active · expires Jan 12, 2028
CLIA Number11D0938696
Laboratory TypePhysician Office
Certificate Effective DateJanuary 13, 2026
Certificate Expiration DateJanuary 12, 2028
Laboratory DirectorMagaret Keeling
Laboratory Phone(770) 793-9750
Laboratory LocationWellstar Kennestone Ob/Gyn699 Church Street NE, Suite 500, Marietta, GA 30060
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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.

BARBARA ZEE GOERS M.A., CCC-A
Audiologist
699 CHURCH ST NE, SUITE 340
MARIETTA, GA 30060
Cobb County (770) 505-0023
OB-GYN ASSOCIATES, PA
Obstetrics & Gynecology
699 CHURCH ST NE, SUITE 300
MARIETTA, GA 30060
Cobb County (770) 422-8700
MAVIS NYARKO YEBOAH WHNP
Nurse Practitioner (Women's Health)
699 CHURCH ST NE
MARIETTA, GA 30060
Cobb County (770) 819-9211
MS. KIMBERLEY L LONG CNM
Advanced Practice Midwife
699 CHURCH ST NE, SUITE 500
MARIETTA, GA 30060
Cobb County (770) 793-9750
KIMBERLY A HUFFMAN M.D.
Obstetrics & Gynecology
699 CHURCH ST NE, SUITE 300
MARIETTA, GA 30060
Cobb County (770) 422-8700
CHRISTINA BROWN
Specialist/Technologist, Other (Surgical Assistant)
699 CHURCH ST NE
MARIETTA, GA 30060
Cobb County (229) 339-4732
ONYX SURGICAL BILLING, L.L.C.
Physician Assistant (Surgical)
699 CHURCH ST NE
MARIETTA, GA 30060
Cobb County (854) 214-8227
DR. SALLY M. REVELL MD
Otolaryngology
699 CHURCH ST NE, STE 340
MARIETTA, GA 30060
Cobb County (770) 793-7613

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 1245539378. It was assigned to this organization in the NPPES registry on March 15, 2011. The provider is doing business as Wellstar Kennestone Ob/Gyn.

Where is Wellstar Medical Group, LLC located?

Wellstar Medical Group, LLC is located at 699 Church St NE Suite 500, Marietta, GA 30060. The listed phone number is (770) 793-9750.

What is Wellstar Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Does Wellstar Medical Group, LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 11D0938696) is associated with this NPI, valid through January 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wellstar Medical Group, LLC was last updated on November 18, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.