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: October 25, 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
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

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

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 Cobb Family 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 Cobb Family Medicine, which bills Medicare for the services they deliver. Of these, 12 practice at this address and 1,019 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
Qualified Audiologist
NPI 1952533382
1790 MULKEY RD SUITE 7
Austell, GA 30106
(770) 819-1435
✔ Accepts MedicareSame address
Otolaryngology
NPI 1790740801
1790 MULKEY RD SUITE 7
Austell, GA 30106
(770) 819-1435
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1477294320
1790 MULKEY RD STE 510
Austell, GA 30106
(470) 267-2000
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1851955447
1790 MULKEY RD STE 510
Austell, GA 30106
(470) 267-2000
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1497557102
1790 MULKEY RD STE 8A
Austell, GA 30106
(770) 944-1830
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1184061731
1790 MULKEY RD STE 8A
Austell, GA 30106
(770) 944-1830
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1568439206
1791 MULKEY RD SUITE 200
Austell, GA 30106
(770) 732-5400
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1053305631
1791 MULKEY RD SUITE 200
Austell, GA 30106
(770) 732-5400
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1609867647
1790 MULKEY RD STE 8A
Austell, GA 30106
(770) 944-1830
✔ PECOSSame address
Family Practice
NPI 1538159603
1790 MULKEY RD STE 8A
Austell, GA 30106
(770) 944-1830
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1386200772
1790 MULKEY RD STE 8A
Austell, GA 30106
(770) 944-1830
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1891767067
1790 MULKEY RD SUITE 5 A
Austell, GA 30106
(770) 732-1055
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1386859163
1791 MULKEY RD SUITE 200
Austell, GA 30106
(770) 732-5400
✔ PECOS✔ Accepts MedicareSame address
Certified Nurse Midwife (CNM)
NPI 1588636898
1791 MULKEY RD SUITE 200
Austell, GA 30106
(770) 732-5400
✔ PECOSSame address
Certified Nurse Midwife (CNM)
NPI 1144053596
1791 MULKEY RD STE 200
Austell, GA 30106
(770) 732-5400
✔ PECOSSame address
Certified Nurse Midwife (CNM)
NPI 1023714797
1791 MULKEY RD STE 200
Austell, GA 30106
(770) 732-5400
✔ PECOSSame address
Nurse Practitioner
NPI 1629841366
1791 MULKEY RD STE 200
Austell, GA 30106
(770) 732-5400
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1598013492
1790 MULKEY RD STE 5A
Austell, GA 30106
(404) 265-1044
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1659339711
1790 MULKEY RD STE 9A
Austell, GA 30106
(770) 739-1200
✔ PECOS✔ Accepts MedicareSame address
Endocrinology
NPI 1790780278
1790 MULKEY RD STE 5A
Austell, GA 30106
(404) 265-1044
✔ PECOS✔ Accepts MedicareSame address
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.

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.

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.

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

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.