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

NPI Status: Active since November 30, 2010

Contact Information

3747 ROSWELL RD NE
SUITE 216
MARIETTA, GA
ZIP 30062
Phone: (770) 973-2272
Fax: (770) 973-9245

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  • Organization
  • Family Medicine
  • CLIA Number: 11D2020885
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 10-29-2026

About WELLSTAR FAMILY MEDICINE EC

This page provides the complete NPI Profile along with additional information for Wellstar Family Medicine Ec, a primary care provider established in Marietta, Georgia operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1255633004 assigned on November 2010. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Wellstar Family Medicine Ec. The authorized official of this NPI record is Mrs. Nicole Ashe (Executive Vp Of Finance)

NPI
1255633004
Provider Legal Name
WELLSTAR MEDICAL GROUP, LLC
Other Organization Name
WELLSTAR FAMILY MEDICINE EC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3747 ROSWELL RD NE SUITE 216 MARIETTA, GA 30062
Location Phone
(770) 973-2272
Location Fax
(770) 973-9245
Mailing Address
3747 ROSWELL RD NE SUITE 216 MARIETTA, GA 30062
Mailing Phone
(770) 973-2272
Mailing Fax
(770) 973-9245
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
11-30-2010
Last Update Date
06-08-2015
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A primary care provider (PCP) like Wellstar Family Medicine Ec sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. NICOLE ASHE

Authorized Official Title
EXECUTIVE VP OF FINANCE
Authorized Official Phone
(470) 644-0095

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
11D2020885
Facility Type
Physician Office
Certificate Effective Date
October 30, 2024
Certificate Expiration Date
October 29, 2026
Laboratory Director
WHITNEY DENTON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Wellstar Family Medicine Ec to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1255633004, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 46. The final step is to find the difference between that total and the next multiple of ten (50 - 46 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
5
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
3
Unchanged
Pos 7
3
Doubled → 6
Pos 8
0
Unchanged
Pos 9
0
Doubled → 0
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 6 → 12 → 3 3 → 6 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 0 + 5 + 1 + 2 + 3 + 6 + 0 + 0 + 24 = 46

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 46 is 50. The difference is the calculated check digit.

50 - 46 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1255633004.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Pediatrics
3747 ROSWELL RD NE, SUITE 201
MARIETTA, GA 30062
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3747 ROSWELL RD NE, SUITE 212
MARIETTA, GA 30062
Chiropractor
3747 ROSWELL RD NE, SUITE 311
MARIETTA, GA 30062
Anesthesiology (Pain Medicine)
3747 ROSWELL RD NE, SUITE 311
MARIETTA, GA 30062

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255633004, enumerated as an "organization" on November 30, 2010.

The provider is located at 3747 ROSWELL RD NE SUITE 216 MARIETTA, GA 30062 and the phone number is (770) 973-2272.

Family Medicine with taxonomy code 207Q00000X.