WELLSTAR FAMILY MEDICINE & GERIATRIC MEDICINE
NPI 1275814964
Family Medicine - Geriatric Medicine in Marietta, GA

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

The NPI number for Wellstar Medical Group, LLC is 1275814964. It was assigned to this organization in the NPPES registry on September 8, 2011. The provider is doing business as Wellstar Family Medicine & Geriatric Medicine.

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

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Active since September 08, 2011

3939 ROSWELL RD, SUITE 240, MARIETTA, GA 30062(678) 403-4660(770) 971-6994 Get Directions Write a Review

NPPES record last updated: November 19, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Wellstar Family Medicine & Geriatric Medicine NPPES

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

WELLSTAR FAMILY MEDICINE & GERIATRIC MEDICINE (NPI 1275814964) is a healthcare organization registered as a geriatric medicine in Marietta, Georgia and active in the NPI registry since September 2011. The organization lists Nicole Ashe, Executive Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1275814964

Entity TypeOrganization

Primary Taxonomy207QG0300X

Legal Business NameWELLSTAR MEDICAL GROUP, LLC

Location Address3939 ROSWELL RD, SUITE 240Marietta, GA 30062-6251

Mailing Address3939 Roswell Rd, Suite 240Marietta, GA 30062-6251 · (678) 403-4660 · Fax (770) 971-6994

Phone(678) 403-4660

Fax(770) 971-6994

Organization SubpartYes

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

Enumeration DateSeptember 8, 2011

Last NPPES UpdateNovember 19, 2013

✔ NPI 1275814964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QG0300X

Definition

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

Also ListedFamily MedicineTaxonomy 207Q00000X

3939 ROSWELL RD, Marietta, GA 30062

Open in Google Maps ↗

Other Names 1

Doing Business AsWellstar Family Medicine & Geriatric Medicine

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 Family Medicine & Geriatric Medicine 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 Family Medicine & Geriatric Medicine, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 1,022 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

Sona Amin, MD

Endocrinology

NPI 1700958394

3939 ROSWELL RD SUITE 110
Marietta, GA 30062

(678) 403-4300

✔ PECOS✔ Accepts MedicareSame address

Kirk Bryant, PHD

Clinical Psychologist

NPI 1114397585

3939 ROSWELL RD STE 200
Marietta, GA 30062

(470) 956-3940

✔ PECOS✔ Accepts MedicareSame address

Susan Staviss, M.D.

Pediatric Medicine

NPI 1346242229

3939 ROSWELL RD SUITE 300
Marietta, GA 30062

(770) 578-2868

✔ PECOSSame address

Kayla Steward, PH.D.

Clinical Psychologist

NPI 1851024012

3939 ROSWELL RD STE 200
Marietta, GA 30062

(470) 209-5639

✔ PECOS✔ Accepts MedicareSame address

Taylor Armstrong, PHD

Clinical Psychologist

NPI 1578205340

3939 ROSWELL RD STE 200
Marietta, GA 30062

(404) 603-1427

✔ PECOS✔ Accepts MedicareSame address

Alyssa Krentzel, PSYD

Clinical Psychologist

NPI 1316590953

3939 ROSWELL RD STE 300
Marietta, GA 30062

(943) 202-7540

✔ PECOSSame address

Angelina Witbeck, PSY.D.

Clinical Psychologist

NPI 1508694092

3939 ROSWELL RD STE 200
Marietta, GA 30062

(470) 956-3940

✔ PECOS✔ Accepts MedicareSame address

Stephanie Salinas, PSYD

Clinical Psychologist

NPI 1720515042

3939 ROSWELL RD STE 200
Marietta, GA 30062

(470) 956-3940

✔ PECOS✔ Accepts MedicareSame address

Karla Booker, MD

Family Practice

NPI 1144359027

3747 ROSWELL RD STE 107
Marietta, GA 30062

(470) 956-0150

✔ PECOS✔ Accepts Medicare0.5 mi

Travis Bowles, MD

Internal Medicine

NPI 1912094046

3747 ROSWELL RD STE 216
Marietta, GA 30062

(770) 973-2272

✔ PECOS✔ Accepts Medicare0.5 mi

Grace Chiang, MD

Allergy/Immunology

NPI 1750556106

3747 ROSWELL RD STE 205
Marietta, GA 30062

(770) 333-2027

✔ PECOS✔ Accepts Medicare0.5 mi

Brandy Cross, MD

Hand Surgery

NPI 1831396225

3747 ROSWELL RD STE 312
Marietta, GA 30062

(470) 956-7547

✔ PECOS✔ Accepts Medicare0.5 mi

Cicely Dowdell-Smith, MD

Pediatric Medicine

NPI 1881828713

3747 ROSWELL RD STE 201
Marietta, GA 30062

(770) 578-2868

✔ PECOS0.5 mi

Mindy Gentry, MD

Cardiovascular Disease (Cardiology)

NPI 1457493918

3747 ROSWELL RD
Marietta, GA 30062

(770) 424-6893

✔ PECOS✔ Accepts Medicare0.5 mi

Gunjan Kelotra-Jindia, MD

Anesthesiology

NPI 1154414068

3747 ROSWELL RD STE 311
Marietta, GA 30062

(770) 644-1274

✔ PECOS0.5 mi

Miguel Munoz, M.D.

Endocrinology

NPI 1770629230

3747 ROSWELL RD STE 202
Marietta, GA 30062

(678) 400-3430

✔ PECOS✔ Accepts Medicare0.5 mi

Emmalyn Newman, APRN

Nurse Practitioner

NPI 1407324593

3747 ROSWELL RD STE 216
Marietta, GA 30062

(770) 973-2272

✔ PECOS✔ Accepts Medicare0.5 mi

David Riden, MD

Urology

NPI 1871588277

3747 ROSWELL RD STE 201
Marietta, GA 30062

(770) 578-2868

✔ PECOS0.5 mi

Leah Skjei, MD

Emergency Medicine

NPI 1982799961

3747 ROSWELL RD STE 107
Marietta, GA 30062

(470) 956-0150

✔ PECOS✔ Accepts Medicare0.5 mi

Asra Batool, M.D

Gastroenterology

NPI 1912203829

3747 ROSWELL RD STE 318
Marietta, GA 30062

(470) 267-1520

✔ PECOS✔ Accepts Medicare0.5 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 1275814964. It was assigned to this organization in the NPPES registry on September 8, 2011. The provider is doing business as Wellstar Family Medicine & Geriatric Medicine.

Where is Wellstar Medical Group, LLC located?

Wellstar Medical Group, LLC is located at 3939 Roswell Rd Suite 240, Marietta, GA 30062. The listed phone number is (678) 403-4660.

What is Wellstar Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

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, 8 practice at this address and 1,022 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 November 19, 2013. 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.