WELLSTAR INFECTIOUS DISEASE
NPI 1255626941
Internal Medicine - Infectious Disease in Marietta, GA

Active since June 10, 2011CLIA 11D2231737 · Waiver
55 WHITCHER ST NE, SUITE 220, MARIETTA, GA 30060(770) 429-0083(770) 425-0137 Get Directions Write a Review

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

About Wellstar Infectious Disease NPPES

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

WELLSTAR INFECTIOUS DISEASE (NPI 1255626941) is a healthcare organization registered as an infectious disease in Marietta, Georgia and active in the NPI registry since June 2011. The organization holds a CLIA Waiver certificate valid through August 4, 2027 and lists Nicole Ashe, Executive Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1255626941
Entity TypeOrganization
Primary Taxonomy207RI0200X
Legal Business NameWELLSTAR MEDICAL GROUP, LLC
Location Address55 WHITCHER ST NE, SUITE 220Marietta, GA 30060-1155
Mailing Address55 Whitcher St Ne, Suite 220Marietta, GA 30060-1155 · (770) 429-0083 · Fax (770) 425-0137
Fax(770) 425-0137
Organization SubpartYes
Authorized OfficialNicole AsheExecutive Director Of Finance · (470) 644-0095
Enumeration DateJune 10, 2011
Last NPPES UpdateNovember 18, 2013
✔ NPI 1255626941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedInternal MedicineTaxonomy 207R00000X
55 WHITCHER ST NE, Marietta, GA 30060

Other Names 1

Doing Business AsWellstar Infectious Disease

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 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, which bills Medicare for the services they deliver. Of these, 220 practice at this address and 1,131 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
Nurse Practitioner
NPI 1003223934
55 WHITCHER ST NE STE 350
Marietta, GA 30060
(770) 424-6893
✔ PECOS✔ Accepts MedicareSame address
Cardiac Electrophysiology
NPI 1033170683
55 WHITCHER ST NE SUITE 350
Marietta, GA 30060
(770) 424-6893
✔ PECOS✔ Accepts MedicareSame address
Critical Care (Intensivists)
NPI 1023067824
55 WHITCHER ST NE SUITE 160
Marietta, GA 30060
(770) 422-1372
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1164606042
55 WHITCHER STREET 250
Marietta, GA 30060
(770) 428-4475
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1184697534
55 WHITCHER ST NE SUITE 130
Marietta, GA 30060
(770) 428-0462
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1467630491
55 WHITCHER ST NE SUITE 350
Marietta, GA 30060
(770) 424-6893
✔ PECOS✔ Accepts MedicareSame address
Colorectal Surgery (Proctology)
NPI 1821086554
55 WHITCHER ST NE SUITE 130
Marietta, GA 30060
(770) 428-0462
✔ PECOS✔ Accepts MedicareSame address
Interventional Cardiology
NPI 1316937378
55 WHITCHER ST NE STE 350
Marietta, GA 30060
(770) 424-6893
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1114175858
55 WHITCHER ST NE STE 260
Marietta, GA 30060
(943) 202-7050
✔ PECOS✔ Accepts MedicareSame address
Infectious Disease
NPI 1215967211
55 WHITCHER ST NE SUITE 220
Marietta, GA 30060
(770) 429-0083
✔ PECOS✔ Accepts MedicareSame address
Pulmonary Disease
NPI 1821013087
55 WHITCHER ST NE SUITE 160
Marietta, GA 30060
(770) 422-1372
✔ PECOSSame address
Clinical Psychologist
NPI 1922273358
55 WHITCHER ST NE SUITE 420
Marietta, GA 30060
(770) 514-6760
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1679232144
55 WHITCHER ST NE STE 420
Marietta, GA 30060
(770) 514-6760
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1316045503
55 WHITCHER ST NE SUITE 420
Marietta, GA 30060
(770) 422-1372
✔ PECOSSame address
Psychiatry
NPI 1649479973
55 WHITCHER ST NE SUITE 420
Marietta, GA 30060
(770) 514-6760
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1154403582
55 WHITCHER ST NE STE 400
Marietta, GA 30060
(470) 956-3960
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1669932083
55 WHITCHER ST NE STE 350
Marietta, GA 30060
(770) 424-6893
✔ PECOSSame address
Thoracic Surgery
NPI 1780666719
61WHITCHER ST NE SUITE 4120
Marietta, GA 30060
(770) 424-9732
✔ PECOSSame address
Neurosurgery
NPI 1285778613
61 WHITCHER ST NE SUITE 3110 KENNESTONE PHYSICIAN'S CENTER
Marietta, GA 30060
(770) 422-2326
✔ PECOS✔ Accepts MedicareSame address
Vascular Surgery
NPI 1043553803
61 WHITCHER ST NE STE 2100
Marietta, GA 30060
(770) 423-0595
✔ PECOS✔ Accepts MedicareSame address
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.

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 11D2231737

Wellstar Medical Group Infectious Disease Marietta · Marietta, GA
Active · expires Aug 4, 2027
CLIA Number11D2231737
Laboratory TypePhysician Office
Certificate Effective DateAugust 5, 2025
Certificate Expiration DateAugust 4, 2027
Laboratory DirectorDanny Bransletter
Laboratory Phone(770) 429-0083
Laboratory LocationWellstar Medical Group Infectious Disease Marietta55 Whitcher Street, Suite 220, Marietta, GA 30060
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 1255626941. It was assigned to this organization in the NPPES registry on June 10, 2011. The provider is doing business as Wellstar Infectious Disease.

Where is Wellstar Medical Group, LLC located?

Wellstar Medical Group, LLC is located at 55 Whitcher St NE Suite 220, Marietta, GA 30060. The listed phone number is (770) 429-0083.

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, 220 practice at this address and 1,131 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

Yes. A Certificate of Waiver (number 11D2231737) is associated with this NPI, valid through August 4, 2027. 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 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.