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

NPI Status: Active since June 04, 2014

Contact Information

3825 MEDICAL PARK DR
SUITE 100
AUSTELL, GA
ZIP 30106
Phone: (770) 948-8680
Fax: (770) 944-1337

NPI Profile Information
Primary Taxonomy
Group Taxonomy
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Internal Medicine

About WELLSTAR INTERNAL MEDICINE (MEDICAL PARK)

This page provides the complete NPI Profile along with additional information for Wellstar Internal Medicine (medical Park), an internist established in Austell, Georgia operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1255744595 assigned on June 2014. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Wellstar Internal Medicine (medical Park). The authorized official of this NPI record is Mrs. Nicole Ashe (Executive Director Of Finance)

NPI: 1255744595
Provider Legal Name: WELLSTAR MEDICAL GROUP, LLC
Other Organization Name: WELLSTAR INTERNAL MEDICINE (MEDICAL PARK)
Other Name Type: Doing Business As (3)
Entity Type: Organization
Location Address: 3825 MEDICAL PARK DR SUITE 100 AUSTELL, GA 30106
Location Phone: (770) 948-8680
Location Fax: (770) 944-1337
Mailing Address: 3825 MEDICAL PARK DR SUITE 100 AUSTELL, GA 30106
Mailing Phone: (770) 948-8680
Mailing Fax: (770) 944-1337
Is Sole Proprietor?: No
Is Organization Subpart?: Yes
Enumeration Date: 06-04-2014
Last Update Date: 06-04-2014
Code Navigator

An internist like Wellstar Internal Medicine (medical Park) is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, 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: Internal Medicine
Taxonomy Code: 207R00000X
Type: Allopathic & Osteopathic Physicians
License State: GA
Taxonomy Description: 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.

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 DIRECTOR OF FINANCE
Authorized Official Phone: (470) 644-0095

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	2	5	5	7	4	4	5	9	5
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	2	10	5	14	4	8	5	18
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 0 + 5 + 1 + 4 + 4 + 8 + 5 + 1 + 8 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 5									5

The NPI number 1255744595 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 16 providers are registered at the same or nearby location.

DR. JASMINE GRACE JEFFERS M.D.

Internal Medicine

(Gastroenterology)

3825 MEDICAL PARK DR
SUITE 300
AUSTELL, GA
ZIP 30106

About WELLSTAR INTERNAL MEDICINE (MEDICAL PARK)

Location Map

Specialty - Primary Taxonomy

Internal Medicine

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

Authorized Official

MRS. NICOLE ASHE

Reviews for WELLSTAR INTERNAL MEDICINE (MEDICAL PARK)

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions

What is WELLSTAR MEDICAL GROUP, LLC's NPI number?

Where is the provider located?

What is the provider's specialty?