WELLSTAR INTERNAL MEDICINE (MEDICAL PARK)
NPI 1255744595
Internal Medicine in Austell, GA

Q: What is Wellstar Medical Group, LLC's NPI number?

The NPI number for Wellstar Medical Group, LLC is 1255744595. It was assigned to this organization in the NPPES registry on June 4, 2014. The provider is doing business as Wellstar Internal Medicine (medical Park).

Q: What is Wellstar Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since June 04, 2014

3825 MEDICAL PARK DR, SUITE 100, AUSTELL, GA 30106(770) 948-8680(770) 944-1337 Get Directions Write a Review

NPPES record last updated: June 4, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Wellstar Internal Medicine (medical Park) NPPES

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

WELLSTAR INTERNAL MEDICINE (MEDICAL PARK) (NPI 1255744595) is a healthcare organization registered as an internal medicine in Austell, Georgia and active in the NPI registry since June 2014. The organization lists Nicole Ashe, Executive Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1255744595

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameWELLSTAR MEDICAL GROUP, LLC

Location Address3825 MEDICAL PARK DR, SUITE 100Austell, GA 30106-6831

Mailing Address3825 Medical Park Dr, Suite 100Austell, GA 30106-6831 · (770) 948-8680 · Fax (770) 944-1337

Phone(770) 948-8680

Fax(770) 944-1337

Organization SubpartYes

Authorized OfficialNicole AsheExecutive Director Of Finance · (470) 644-0095

Enumeration DateJune 4, 2014

✔ NPI 1255744595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

3825 MEDICAL PARK DR, Austell, GA 30106

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Other Names 1

Doing Business AsWellstar Internal Medicine (medical Park)

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

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 Internal Medicine (medical Park) 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 Internal Medicine (medical Park), which bills Medicare for the services they deliver. Of these, 1,019 practice 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

Liam Groseclose

Nurse Practitioner

NPI 1609376763

1700 MULKEY RD
Austell, GA 30106

(770) 941-5750

✔ PECOS✔ Accepts Medicare0.1 mi

Yahya Siddiq, M.D.

Endocrinology

NPI 1023085081

3825 MEDICAL PARK DR STE 200
Austell, GA 30106

(770) 948-5578

✔ PECOS✔ Accepts Medicare0.2 mi

Christopher Stanke, M.D.

Gastroenterology

NPI 1932494739

3825 MEDICAL PARK DR STE 100
Austell, GA 30106

(470) 267-1760

✔ PECOS✔ Accepts Medicare0.2 mi

Mary Gearhard, M.D

Family Practice

NPI 1609867647

1790 MULKEY RD STE 8A
Austell, GA 30106

(770) 944-1830

✔ PECOS0.2 mi

Edward Vollrath, MD

Internal Medicine

NPI 1891767067

1790 MULKEY RD SUITE 5 A
Austell, GA 30106

(770) 732-1055

✔ PECOS✔ Accepts Medicare0.2 mi

Angela Hudson, M.D.

Obstetrics/Gynecology

NPI 1659339711

1790 MULKEY RD STE 9A
Austell, GA 30106

(770) 739-1200

✔ PECOS✔ Accepts Medicare0.2 mi

Sarah Baker, M.C.D.

Qualified Audiologist

NPI 1952533382

1790 MULKEY RD SUITE 7
Austell, GA 30106

(770) 819-1435

✔ Accepts Medicare0.3 mi

Shalini Kansal, MD

Otolaryngology

NPI 1790740801

1790 MULKEY RD SUITE 7
Austell, GA 30106

(770) 819-1435

✔ PECOS✔ Accepts Medicare0.3 mi

Annisha Ellis, MD

Pediatric Medicine

NPI 1346230836

1810 MULKEY RD SUITE 201
Austell, GA 30106

(770) 819-9262

✔ PECOS0.3 mi

Stephen Odom, MD

General Surgery

NPI 1740253749

1810 MULKEY RD SUITE 105
Austell, GA 30106

(770) 944-0686

✔ PECOS✔ Accepts Medicare0.3 mi

Justin Park, MD

Sleep Medicine

NPI 1225536816

1664 MULKEY RD
Austell, GA 30106

(770) 422-1372

✔ PECOS✔ Accepts Medicare0.3 mi

Ragheed Alturkmani, M.D.

Pulmonary Disease

NPI 1497947220

1664 MULKEY RD
Austell, GA 30106

(770) 422-1372

✔ PECOS✔ Accepts Medicare0.3 mi

Daniela Guilliam, M.D.

Neurology

NPI 1245487800

1664 MULKEY RD
Austell, GA 30106

(770) 422-1372

✔ PECOS✔ Accepts Medicare0.3 mi

Linda Range, CNM

Certified Nurse Midwife (CNM)

NPI 1588636898

1791 MULKEY RD SUITE 200
Austell, GA 30106

(770) 732-5400

✔ PECOS0.3 mi

Saira Alimohamed, M.D.

Hospitalist

NPI 1942527684

3950 AUSTELL RD # 22
Austell, GA 30106

(770) 732-4022

✔ PECOS0.4 mi

Gary Derusso, MD

Hospice/Palliative Care

NPI 1548657398

3950 AUSTELL RD
Austell, GA 30106

(770) 732-3585

✔ PECOS✔ Accepts Medicare0.4 mi

Auburn Elliott

Anesthesiology Assistant

NPI 1538327846

3950 AUSTELL RD
Austell, GA 30106

(770) 732-5000

0.4 mi

Marla Franks, MD

Pathology

NPI 1548211501

3950 AUSTELL RD
Austell, GA 30106

(770) 732-3585

✔ PECOS✔ Accepts Medicare0.4 mi

Ajay Handa, MD

Anesthesiology

NPI 1770546368

3950 AUSTELL ROAD
Austell, GA 30106

(770) 732-3649

✔ PECOS0.4 mi

Jason Lee, MD

Psychiatry

NPI 1750878070

3950 AUSTELL RD
Austell, GA 30106

(770) 732-3789

✔ PECOS✔ Accepts Medicare0.4 mi

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.

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 1255744595. It was assigned to this organization in the NPPES registry on June 4, 2014. The provider is doing business as Wellstar Internal Medicine (medical Park).

Where is Wellstar Medical Group, LLC located?

Wellstar Medical Group, LLC is located at 3825 Medical Park Dr Suite 100, Austell, GA 30106. The listed phone number is (770) 948-8680.

What is Wellstar Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

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, 1,019 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Wellstar Medical Group, LLC was last updated on June 4, 2014. 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.