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WELLSTAR FAMILY MEDICINE EC
NPI 1255633004
Family Medicine in Marietta, GA

Active since November 30, 2010CLIA 11D2020885 · Waiver
3747 ROSWELL RD NE, SUITE 216, MARIETTA, GA 30062(770) 973-2272(770) 973-9245 Get Directions Write a Review

NPPES record last updated: June 8, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wellstar Family Medicine Ec NPPES

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

WELLSTAR FAMILY MEDICINE EC (NPI 1255633004) is a healthcare organization registered as a family medicine in Marietta, Georgia and active in the NPI registry since November 2010. The organization holds a CLIA Waiver certificate valid through October 29, 2026 and lists Nicole Ashe, Executive Vp Of Finance, as its authorized official.

NPPES Registry Identity

NPI1255633004
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWELLSTAR MEDICAL GROUP, LLC
Location Address3747 ROSWELL RD NE, SUITE 216Marietta, GA 30062-6234
Mailing Address3747 Roswell Rd Ne, Suite 216Marietta, GA 30062-6234 · (770) 973-2272 · Fax (770) 973-9245
Phone(770) 973-2272
Fax(770) 973-9245
Organization SubpartYes
Authorized OfficialNicole AsheExecutive Vp Of Finance · (470) 644-0095
Enumeration DateNovember 30, 2010
Last NPPES UpdateJune 8, 2015
✔ NPI 1255633004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3747 ROSWELL RD NE, Marietta, GA 30062
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Other Names 1

Doing Business AsWellstar Family Medicine Ec

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 11D2020885

Wellstar Family Medicine - East Cobb · Marietta, GA
Active · expires Oct 29, 2026
CLIA Number11D2020885
Laboratory TypePhysician Office
Certificate Effective DateOctober 30, 2024
Certificate Expiration DateOctober 29, 2026
Laboratory DirectorWhitney Denton
Laboratory Phone(770) 973-2272
Laboratory LocationWellstar Family Medicine - East Cobb3747 Roswell Road, Suite 216, Marietta, GA 30062
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

WELLSTAR MEDICAL GROUP, LLC
Chiropractor
3747 ROSWELL RD NE, SUITE 311
MARIETTA, GA 30062
Cobb County (770) 422-2326
WELLSTAR MEDICAL GROUP, LLC
Pediatrics
3747 ROSWELL RD NE, SUITE 201
MARIETTA, GA 30062
Cobb County (770) 578-2868
WELLSTAR MEDICAL GROUP, LLC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3747 ROSWELL RD NE, SUITE 212
MARIETTA, GA 30062
Cobb County (678) 403-4300
WELLSTAR MEDICAL GROUP, LLC
Anesthesiology (Pain Medicine)
3747 ROSWELL RD NE, SUITE 311
MARIETTA, GA 30062
Cobb County (770) 422-2326

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 1255633004. It was assigned to this organization in the NPPES registry on November 30, 2010. The provider is doing business as Wellstar Family Medicine Ec.

Where is Wellstar Medical Group, LLC located?

Wellstar Medical Group, LLC is located at 3747 Roswell Rd NE Suite 216, Marietta, GA 30062. The listed phone number is (770) 973-2272.

What is Wellstar Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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

Yes. A Certificate of Waiver (number 11D2020885) is associated with this NPI, valid through October 29, 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 June 8, 2015. 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.