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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: August 16, 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
Phone(770) 429-0083
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
Open in Google Maps ↗

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

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.

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. ROBERT DAVID JANSEN M.D.
Internal Medicine (Nephrology)
55 WHITCHER ST NE, STE 460
MARIETTA, GA 30060
Cobb County (770) 427-7389
DR. MADHAVI JORDAN MD
Surgery
55 WHITCHER ST NE, SUIT 130
MARIETTA, GA 30060
Cobb County (770) 428-0462
MR. REYES TORRES III PA-C
Physician Assistant
55 WHITCHER ST NE, SUITE 350
MARIETTA, GA 30060
Cobb County (770) 424-6893
ASIF A SABERI M.D.
Internal Medicine (Critical Care Medicine)
55 WHITCHER ST NE, SUITE 160
MARIETTA, GA 30060
Cobb County (770) 422-1372
BRYAN T. PIEDAD M.D.
Internal Medicine (Clinical Cardiac Electrophysiology)
55 WHITCHER ST NE, SUITE 350
MARIETTA, GA 30060
Cobb County (770) 424-6893
MICHAEL J RILEY M.D.
Internal Medicine (Clinical Cardiac Electrophysiology)
55 WHITCHER ST NE, SUITE 350
MARIETTA, GA 30060
Cobb County (770) 424-6893
KAMARA SUZANNE HEARD ACNP
Nurse Practitioner (Acute Care)
55 WHITCHER ST NE
MARIETTA, GA 30060
Cobb County (770) 422-1372
JACLYN WOOD NP
Nurse Practitioner (Family)
55 WHITCHER ST NE, SUITE 250
MARIETTA, GA 30060
Cobb County (770) 428-4475

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.

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.