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WELLSTAR ANESTHESIA
NPI 1245632660
Anesthesiology in Kennesaw, GA

Active since September 17, 2014CLIA 11D2172437 · Waiver
1180 ERNEST W BARRETT PKWY NW, SUITE 100, KENNESAW, GA 30144(770) 644-1274(770) 644-1119 Get Directions Write a Review

NPPES record last updated: September 26, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wellstar Anesthesia NPPES

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

WELLSTAR ANESTHESIA (NPI 1245632660) is a healthcare organization registered as an anesthesiology in Kennesaw, Georgia and active in the NPI registry since September 2014. The organization holds a CLIA Waiver certificate valid through August 11, 2026 and lists Nicole Ashe, Executive Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1245632660
Entity TypeOrganization
Primary Taxonomy207L00000X
Legal Business NameWELLSTAR MEDICAL GROUP, LLC
Location Address1180 ERNEST W BARRETT PKWY NW, SUITE 100Kennesaw, GA 30144-4534
Mailing Address1180 Ernest W Barrett Pkwy Nw, Suite 100Kennesaw, GA 30144-4534 · (770) 644-1274 · Fax (770) 644-1119
Phone(770) 644-1274
Fax(770) 644-1119
Organization SubpartYes
Authorized OfficialNicole AsheExecutive Director Of Finance · (470) 644-0095
Enumeration DateSeptember 17, 2014
Last NPPES UpdateSeptember 26, 2014
✔ NPI 1245632660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
1180 ERNEST W BARRETT PKWY NW, Kennesaw, GA 30144
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Other Names 1

Doing Business AsWellstar Anesthesia

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 11D2172437

Wellstar Pediatric Urology · Kennesaw, GA
Active · expires Aug 11, 2026
CLIA Number11D2172437
Laboratory TypePhysician Office
Certificate Effective DateAugust 12, 2024
Certificate Expiration DateAugust 11, 2026
Laboratory DirectorDavid Riden
Laboratory Phone(470) 956-1600
Laboratory LocationWellstar Pediatric Urology1180 Ernest W Barrett Parkway NW, Suite 102A, Kennesaw, GA 30144
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

BRYANA FERRIS MD
Pediatrics
1180 ERNEST W BARRETT PKWY NW
KENNESAW, GA 30144
Cobb County (678) 354-2273
DR. BRIANNA SEAWOOD DPT
Physical Therapist (Pediatrics)
1180 ERNEST W BARRETT PKWY NW
KENNESAW, GA 30144
Cobb County (678) 797-5734
NICOLE ADRIANA DAVIDSON MD
Pediatrics
1180 ERNEST W BARRETT PKWY NW
KENNESAW, GA 30144
Cobb County (678) 354-2273
REGINA FRANCES ROBBINS M.D.
Pediatrics
1180 ERNEST W BARRETT PKWY NW, WELLSTAR MEDICAL GROUP LLC
KENNESAW, GA 30144
Cobb County (770) 427-0183
ALLISON JONES
Physician Assistant
1180 ERNEST W BARRETT PKWY NW
KENNESAW, GA 30144
Cobb County (404) 321-9900
WELLSTAR MEDICAL GROUP, LLC
Pediatrics
1180 ERNEST W BARRETT PKWY NW, SUITE 102B
KENNESAW, GA 30144
Cobb County (678) 354-2273
WELLSTAR MEDICAL GROUP, LLC
Anesthesiology (Pediatric Anesthesiology)
1180 ERNEST W BARRETT PKWY NW, SUITE 100
KENNESAW, GA 30144
Cobb County (770) 644-1274

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 1245632660. It was assigned to this organization in the NPPES registry on September 17, 2014. The provider is doing business as Wellstar Anesthesia.

Where is Wellstar Medical Group, LLC located?

Wellstar Medical Group, LLC is located at 1180 Ernest W Barrett Pkwy NW Suite 100, Kennesaw, GA 30144. The listed phone number is (770) 644-1274.

What is Wellstar Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

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

Yes. A Certificate of Waiver (number 11D2172437) is associated with this NPI, valid through August 11, 2026. 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 September 26, 2014. 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.