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WELLSTAR PEDIATRICS AT BROOKSTONE
NPI 1255637211
Pediatrics in Kennesaw, GA

Active since February 08, 2011CLIA 11D0967015 · Waiver
5150 STILESBORO RD NW, SUITE 220, KENNESAW, GA 30152(770) 424-8222(770) 424-9962 Get Directions Write a Review

NPPES record last updated: November 19, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Wellstar Pediatrics At Brookstone NPPES

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

WELLSTAR PEDIATRICS AT BROOKSTONE (NPI 1255637211) is a healthcare organization registered as a pediatrics in Kennesaw, Georgia and active in the NPI registry since February 2011. The organization holds a CLIA Waiver certificate valid through November 29, 2027 and lists Nicole Ashe, Executive Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1255637211
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameWELLSTAR MEDICAL GROUP, LLC
Location Address5150 STILESBORO RD NW, SUITE 220Kennesaw, GA 30152-7744
Mailing Address5150 Stilesboro Rd Nw, Suite 220Kennesaw, GA 30152-7744 · (770) 424-8222 · Fax (770) 424-9962
Phone(770) 424-8222
Fax(770) 424-9962
Organization SubpartYes
Authorized OfficialNicole AsheExecutive Director Of Finance · (470) 644-0095
Enumeration DateFebruary 8, 2011
Last NPPES UpdateNovember 19, 2013
✔ NPI 1255637211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

5150 STILESBORO RD NW, Kennesaw, GA 30152
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Other Names 1

Doing Business AsWellstar Pediatrics At Brookstone

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 11D0967015

Wellstar Pediatrics At Brookstone · Kennesaw, GA
Active · expires Nov 29, 2027
CLIA Number11D0967015
Laboratory TypePhysician Office
Certificate Effective DateNovember 30, 2025
Certificate Expiration DateNovember 29, 2027
Laboratory DirectorDr. Saudiqa Hoossainy
Laboratory Phone(770) 424-8222
Laboratory LocationWellstar Pediatrics At Brookstone5150 Stilesboro Road Suite 220, Kennesaw, GA 30152
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.

WELLSTAR PEDIATRICS AT BROOKSTONE, LLC
Pediatrics
5150 STILESBORO RD NW, SUITE 220
KENNESAW, GA 30152
Cobb County (770) 424-8222
MR. MARK G STEVENS PT
Physical Therapist
5150 STILESBORO RD NW
KENNESAW, GA 30152
Cobb County (678) 354-6171
ACWORTH FAMILY MEDICINE, PC
Clinic/Center (Primary Care)
5150 STILESBORO RD NW, SUITE 120
KENNESAW, GA 30152
Cobb County (678) 354-0230
DR. FRANK PAUL GIOVANNOTTO D.C.
Chiropractor
5150 STILESBORO RD NW, BLDG.100 SUITE110
KENNESAW, GA 30152
Cobb County (770) 427-3337
BALANCED BODY WELLNESS CENTRE, LLC
Preferred Provider Organization
5150 STILESBORO RD NW, SUITE 420
KENNESAW, GA 30152
Cobb County (770) 425-6068
MRS. DORIS EUBANKS OSBORNE OTR/L
Occupational Therapist
5150 STILESBORO RD NW, SUITE 410
KENNESAW, GA 30152
Cobb County (770) 218-2300
MRS. LESLIE BETH WILLIAMS
Speech-Language Pathologist
5150 STILESBORO RD NW, SUITE 410
KENNESAW, GA 30152
Cobb County (770) 218-2300
PATRICIA PHILLIPS SLP
Speech-Language Pathologist
5150 STILESBORO RD NW, SUITE 430
KENNESAW, GA 30152
Cobb County (770) 218-2300

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 1255637211. It was assigned to this organization in the NPPES registry on February 8, 2011. The provider is doing business as Wellstar Pediatrics At Brookstone.

Where is Wellstar Medical Group, LLC located?

Wellstar Medical Group, LLC is located at 5150 Stilesboro Rd NW Suite 220, Kennesaw, GA 30152. The listed phone number is (770) 424-8222.

What is Wellstar Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

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

Yes. A Certificate of Waiver (number 11D0967015) is associated with this NPI, valid through November 29, 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 19, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.