WELLSTAR FAMILY MEDICINE AT BRIDGEMILL
NPI 1346593316
Family Medicine in Canton, GA
About Wellstar Family Medicine At Bridgemill NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WELLSTAR FAMILY MEDICINE AT BRIDGEMILL (NPI 1346593316) is a healthcare organization registered as a family medicine in Canton, Georgia and active in the NPI registry since October 2012. The organization holds a CLIA Waiver certificate valid through August 26, 2027 and lists Nicole Ashe, Executive Director Of Finance, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
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 of Waiver 11D2171124
Wellstar Medical Group Family Medicine Cherokee Health Park · Canton, GAOther Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 1346593316. It was assigned to this organization in the NPPES registry on October 16, 2012. The provider is doing business as Wellstar Family Medicine At Bridgemill.
Where is Wellstar Medical Group, LLC located?
Wellstar Medical Group, LLC is located at 3755 Sixes Rd Suite 202, Canton, GA 30114. The listed phone number is (770) 720-1880.
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 of Waiver (number 11D2171124) is associated with this NPI, valid through August 26, 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 June 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
