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WELLSTAR PEDIATRIC PROFESSIONALS
NPI 1336445485
Pediatrics in Marietta, GA

Active since February 08, 2011
1880 W OAK PKWY, SUITE 101, MARIETTA, GA 30062(770) 795-8783(770) 795-7424 Get Directions Write a Review

NPPES record last updated: November 19, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Wellstar Pediatric Professionals NPPES

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

WELLSTAR PEDIATRIC PROFESSIONALS (NPI 1336445485) is a healthcare organization registered as a pediatrics in Marietta, Georgia and active in the NPI registry since February 2011. The organization lists Nicole Ashe, Executive Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1336445485
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameWELLSTAR MEDICAL GROUP, LLC
Location Address1880 W OAK PKWY, SUITE 101Marietta, GA 30062-2272
Mailing Address1880 W Oak Pkwy, Suite 101Marietta, GA 30062-2272 · (770) 795-8783 · Fax (770) 795-7424
Phone(770) 795-8783
Fax(770) 795-7424
Organization SubpartYes
Authorized OfficialNicole AsheExecutive Director Of Finance · (470) 644-0095
Enumeration DateFebruary 8, 2011
Last NPPES UpdateNovember 19, 2013
✔ NPI 1336445485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1880 W OAK PKWY, Marietta, GA 30062
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Other Names 1

Doing Business AsWellstar Pediatric Professionals

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 Pediatric Professionals 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 Pediatric Professionals, which bills Medicare for the services they deliver. Of these, 906 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
Seibattu Kallon, NP
Nurse Practitioner
NPI 1457743304
805 SANDY PLAINS RD
Marietta, GA 30066
(770) 956-7827
✔ PECOS✔ Accepts Medicare0.4 mi
Megan Aguilar
Nurse Practitioner
NPI 1861251928
793 SAWYER RD
Marietta, GA 30062
(470) 644-0100
✔ PECOS✔ Accepts Medicare0.7 mi
Yanique Donaldson, FNP
Nurse Practitioner
NPI 1689374290
793 SAWYER RD
Marietta, GA 30062
(470) 644-0100
✔ PECOS✔ Accepts Medicare0.7 mi
Clare Gomez, FNP
Nurse Practitioner
NPI 1871292607
793 SAWYER RD
Marietta, GA 30062
(770) 885-9138
✔ PECOS✔ Accepts Medicare0.7 mi
Rebekah Tumlin, APRN
Nurse Practitioner
NPI 1376300244
793 SAWYER RD
Marietta, GA 30062
(470) 644-0100
✔ PECOS✔ Accepts Medicare0.7 mi
Priscilla Walker, FNP-C
Nurse Practitioner
NPI 1346960069
793 SAWYER RD
Marietta, GA 30062
(706) 845-3842
✔ PECOS✔ Accepts Medicare0.7 mi
Ishna Sharma, MD
General Surgery
NPI 1831576867
800 CANTON RD NE
Marietta, GA 30060
(770) 424-4328
✔ PECOS✔ Accepts Medicare2.0 mi
Kathleen Flaherty, ARNP
Nurse Practitioner
NPI 1265755565
780 CANTON RD NE STE 400
Marietta, GA 30060
(770) 411-3602
✔ PECOS✔ Accepts Medicare2.0 mi
Alan Herline, MD
Colorectal Surgery (Proctology)
NPI 1174622518
780 CANTON RD NE STE 250
Marietta, GA 30060
(943) 202-8090
✔ PECOS✔ Accepts Medicare2.0 mi
Seema Kumar
Gastroenterology
NPI 1235662073
780 CANTON RD NE
Marietta, GA 30060
(470) 267-1760
✔ PECOS✔ Accepts Medicare2.0 mi
Parakash Pratibhu, MD
Neurology
NPI 1235626060
780 CANTON RD NE STE 400
Marietta, GA 30060
(770) 422-3602
✔ PECOS✔ Accepts Medicare2.0 mi
Richisa Salazar, MD
Emergency Medicine
NPI 1740449933
2178 WALDROP RD
Marietta, GA 30066
(601) 572-9909
✔ PECOS✔ Accepts Medicare2.1 mi
Jyothirmayi Gundavarapu, M.D
Internal Medicine
NPI 1043270788
166 VANN ST NE
Marietta, GA 30060
(770) 422-7377
✔ PECOS✔ Accepts Medicare2.1 mi
Harold Mclendon, MD
Obstetrics/Gynecology
NPI 1467443408
818 CHURCH ST NE
Marietta, GA 30060
(770) 793-9750
✔ PECOS2.2 mi
Connor O'sullivan, MD
Sports Medicine
NPI 1891324414
790 CHURCH ST NE STE 250
Marietta, GA 30060
(943) 202-7710
✔ PECOS✔ Accepts Medicare2.2 mi
Jordan Vaughn, MD
Family Practice
NPI 1871242438
780 CHURCH ST NE STE 1105
Marietta, GA 30060
(770) 427-4682
✔ PECOS✔ Accepts Medicare2.2 mi
Said Elshihabi, MD
Neurosurgery
NPI 1467477463
718 CHEROKEE ST NE
Marietta, GA 30060
(770) 291-8987
✔ PECOS✔ Accepts Medicare2.2 mi
Xena Whittier, M.D.
Rheumatology
NPI 1710114517
700 CHURCH ST NE
Marietta, GA 30060
(770) 420-1690
✔ PECOS✔ Accepts Medicare2.2 mi
Wronda Jordan, CNM
Certified Nurse Midwife (CNM)
NPI 1801886536
833 CAMPBELL HILL ST NW STE 400
Marietta, GA 30060
(770) 528-0260
✔ PECOS2.2 mi
Nancy Gimbel, PHD
Psychologist Billing Independently
NPI 1700611464
833 CAMPBELL HILL ST NW
Marietta, GA 30060
(770) 528-0260
✔ Accepts Medicare2.3 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 1336445485. It was assigned to this organization in the NPPES registry on February 8, 2011. The provider is doing business as Wellstar Pediatric Professionals.

Where is Wellstar Medical Group, LLC located?

Wellstar Medical Group, LLC is located at 1880 W Oak Pkwy Suite 101, Marietta, GA 30062. The listed phone number is (770) 795-8783.

What is Wellstar Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

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, 906 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 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.