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WELLSTAR COBB FAMILY MEDICINE
NPI 1295031839
Family Medicine in Austell, GA

Active since January 30, 2011CLIA 11D0254153 · Microscopy
1790 MULKEY RD, SUITE 8-A, AUSTELL, GA 30106(770) 944-1830(770) 739-0260 Get Directions Write a Review

NPPES record last updated: November 19, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wellstar Cobb Family Medicine NPPES

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

WELLSTAR COBB FAMILY MEDICINE (NPI 1295031839) is a healthcare organization registered as a family medicine in Austell, Georgia and active in the NPI registry since January 2011. The organization holds a CLIA Microscopy certificate valid through December 22, 2027 and lists Nicole Ashe, Executive Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1295031839
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWELLSTAR MEDICAL GROUP, LLC
Location Address1790 MULKEY RD, SUITE 8-AAustell, GA 30106-1122
Mailing Address1790 Mulkey Rd, Suite 8-aAustell, GA 30106-1122 · (770) 944-1830 · Fax (770) 739-0260
Phone(770) 944-1830
Fax(770) 739-0260
Organization SubpartYes
Authorized OfficialNicole AsheExecutive Director Of Finance · (470) 644-0095
Enumeration DateJanuary 30, 2011
Last NPPES UpdateNovember 19, 2013
✔ NPI 1295031839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
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.
1790 MULKEY RD, Austell, GA 30106
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Other Names 1

Doing Business AsWellstar Cobb Family Medicine

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 for Provider-Performed Microscopy Procedures (PPMP) 11D0254153

Wellstar Cobb Family Medicine · Austell, GA
Active · expires Dec 22, 2027
CLIA Number11D0254153
Laboratory TypePhysician Office
Certificate Effective DateDecember 23, 2025
Certificate Expiration DateDecember 22, 2027
Laboratory DirectorThomas Gearhard
Laboratory Phone(770) 944-1830
Laboratory LocationWellstar Cobb Family Medicine1790 Mulkey Rd SW Ste 8-A, Austell, GA 30106
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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.

WEST ATLANTA ENDODONTICS
Dentist (Endodontics)
1790 MULKEY RD, SUITE 2
AUSTELL, GA 30106
Cobb County (770) 944-8822
DR. ARLITA D JACKSON D.M.D.
Dentist (General Practice)
1790 MULKEY RD, BLDG 4
AUSTELL, GA 30106
Cobb County (770) 739-4400
MS. KATHY MCKNIGHT LOCKETT NNP
Nurse Practitioner (Neonatal)
1790 MULKEY RD
AUSTELL, GA 30106
Cobb County (404) 277-0916
WELLSTAR COBB FAMILY MEDICINE, LLC
Family Medicine
1790 MULKEY RD, SUITE 8A
AUSTELL, GA 30106
Cobb County (770) 944-1830
WELLSTAR COBB MEDICAL GROUP, LLC
Internal Medicine
1790 MULKEY RD, SUITE 5A
AUSTELL, GA 30106
Cobb County (770) 792-1055
MRS. PAULOMI SAHIR SHROFF M.D.
Surgery
1790 MULKEY RD, SUITE 9-C
AUSTELL, GA 30106
Cobb County (770) 941-3515
WELLSTAR MEDICAL GROUP, LLC
Otolaryngology
1790 MULKEY RD, SUITE 7
AUSTELL, GA 30106
Cobb County (770) 819-1435
WELLSTAR INTERNAL MEDICINE OF COBB, LLC
Internal Medicine
1790 MULKEY RD, SUITE 10
AUSTELL, GA 30106
Cobb County (770) 739-6071

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 1295031839. It was assigned to this organization in the NPPES registry on January 30, 2011. The provider is doing business as Wellstar Cobb Family Medicine.

Where is Wellstar Medical Group, LLC located?

Wellstar Medical Group, LLC is located at 1790 Mulkey Rd Suite 8-A, Austell, GA 30106. The listed phone number is (770) 944-1830.

What is Wellstar Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 11D0254153) is associated with this NPI, valid through December 22, 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 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.