WELLSTAR SAFEPATH CHILDRENS ADVOCACY CENTER
NPI 1356736250
Pediatrics - Child Abuse Pediatrics in Marietta, GA

Active since March 30, 2015CLIA 11D2099869 · Waiver
736 WHITLOCK AVE NW, SUITE 600, MARIETTA, GA 30064(770) 801-3465(770) 801-3465 Get Directions Write a Review

NPPES record last updated: September 30, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Wellstar Safepath Childrens Advocacy Center NPPES

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

WELLSTAR SAFEPATH CHILDRENS ADVOCACY CENTER (NPI 1356736250) is a healthcare organization registered as a child abuse pediatrics in Marietta, Georgia and active in the NPI registry since March 2015. The organization holds a CLIA Waiver certificate valid through August 3, 2027 and lists Nicole Ashe, Executive Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1356736250
Entity TypeOrganization
Primary Taxonomy2080C0008X
Legal Business NameWELLSTAR MEDICAL GROUP, LLC
Location Address736 WHITLOCK AVE NW, SUITE 600Marietta, GA 30064-0001
Mailing Address736 Whitlock Ave Nw, Suite 600Marietta, GA 30064-0001 · (770) 801-3465 · Fax (770) 801-3465
Fax(770) 801-3465
Organization SubpartYes
Authorized OfficialNicole AsheExecutive Director Of Finance · (470) 644-0095
Enumeration DateMarch 30, 2015
Last NPPES UpdateSeptember 30, 2015
✔ NPI 1356736250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Child Abuse PediatricsAllopathic & Osteopathic Physicians
Taxonomy Code2080C0008X
Definition
A Child Abuse Pediatrician serves as a resource to children, families and communities by accurately diagnosing abuse; consulting with community agencies on child safety; providing expertise in courts of law; treating consequences of abuse and neglect; directing child abuse and neglect prevention programs and participating on multidisciplinary teams investigating; and managing child abuse cases.
736 WHITLOCK AVE NW, Marietta, GA 30064

Other Names 1

Doing Business AsWellstar Safepath Childrens Advocacy Center

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 Safepath Childrens Advocacy Center 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 Safepath Childrens Advocacy Center, which bills Medicare for the services they deliver. Of these, 1,123 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
Anesthesiology Assistant
NPI 1114570553
531 ROSELANE ST NW STE 830
Marietta, GA 30060
(770) 794-0477
1.2 mi
Anesthesiology
NPI 1205326410
531 ROSELANE ST NW STE 830
Marietta, GA 30060
(770) 794-0477
✔ PECOS1.2 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1144874074
668 ROXTON LN SW
Marietta, GA 30064
(678) 779-9850
1.3 mi
Nurse Practitioner
NPI 1861627028
613 ROSELANE ST NW
Marietta, GA 30060
(770) 792-9800
✔ PECOS✔ Accepts Medicare1.3 mi
General Surgery
NPI 1023515814
590 NANCY ST NW
Marietta, GA 30060
(770) 423-0395
✔ PECOS✔ Accepts Medicare1.3 mi
Surgical Oncology
NPI 1659338416
590 NANCY ST NW
Marietta, GA 30060
(770) 423-0395
✔ PECOS✔ Accepts Medicare1.3 mi
Physical Medicine and Rehabilitation
NPI 1750602405
100 LACY STREET SUITE 150
Marietta, GA 30060
(770) 793-7635
✔ PECOS✔ Accepts Medicare1.4 mi
Neuropsychiatry
NPI 1427591692
100 LACY ST NW STE 150
Marietta, GA 30060
(770) 514-6760
✔ PECOS✔ Accepts Medicare1.4 mi
Pediatric Medicine
NPI 1821088972
760 KENNESAW AVE NW
Marietta, GA 30060
(770) 427-0183
✔ PECOS1.4 mi
Internal Medicine
NPI 1124768841
355 TOWER RD NE STE 300
Marietta, GA 30060
(470) 956-2020
✔ PECOS✔ Accepts Medicare1.5 mi
Family Practice
NPI 1649929191
355 TOWER RD NE STE 300
Marietta, GA 30060
(770) 427-2457
✔ PECOS✔ Accepts Medicare1.5 mi
Clinical Psychologist
NPI 1760031215
355 TOWER RD NE
Marietta, GA 30060
(470) 267-1580
✔ PECOS✔ Accepts Medicare1.5 mi
Rheumatology
NPI 1811194681
355 TOWER ROAD SUITE 103
Marietta, GA 30060
(770) 420-1690
✔ PECOS✔ Accepts Medicare1.5 mi
Critical Care (Intensivists)
NPI 1225398175
400 TOWER RD NE STE 200
Marietta, GA 30060
(770) 422-1372
✔ PECOS✔ Accepts Medicare1.6 mi
Pulmonary Disease
NPI 1245281948
400 TOWER RD NE STE 200
Marietta, GA 30060
(770) 422-1372
✔ PECOS✔ Accepts Medicare1.6 mi
Radiation Oncology
NPI 1629085881
320 KENNESTONE HOSPITAL BLVD LL1
Marietta, GA 30060
(770) 793-7500
✔ PECOS✔ Accepts Medicare1.6 mi
Emergency Medicine
NPI 1235112947
320 KENNESTONE HOSPITAL BLVD SUITE 201
Marietta, GA 30060
(770) 427-2457
✔ PECOS✔ Accepts Medicare1.6 mi
Interventional Cardiology
NPI 1336406958
55 WHITCHER ST NE STE 350
Marietta, GA 30060
(770) 424-6893
✔ PECOS✔ Accepts Medicare1.6 mi
Hospitalist
NPI 1669932083
55 WHITCHER ST NE STE 350
Marietta, GA 30060
(770) 424-6893
✔ PECOS1.6 mi
Orthopedic Surgery
NPI 1154862464
55 WHITCHER ST NE STE 260
Marietta, GA 30060
(943) 202-7050
✔ PECOS✔ Accepts Medicare1.6 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.

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 11D2099869

Wellstar Safepath Children's Advocacy Center · Marietta, GA
Active · expires Aug 3, 2027
CLIA Number11D2099869
Laboratory TypePhysician Office
Certificate Effective DateAugust 4, 2025
Certificate Expiration DateAugust 3, 2027
Laboratory DirectorHannah Chambers
Laboratory Phone(770) 801-3465
Laboratory LocationWellstar Safepath Children's Advocacy Center736 Whitlock Avenue, Suite 600, Marietta, GA 30064
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only 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 1356736250. It was assigned to this organization in the NPPES registry on March 30, 2015. The provider is doing business as Wellstar Safepath Childrens Advocacy Center.

Where is Wellstar Medical Group, LLC located?

Wellstar Medical Group, LLC is located at 736 Whitlock Ave NW Suite 600, Marietta, GA 30064. The listed phone number is (770) 801-3465.

What is Wellstar Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Child Abuse Pediatrics, with taxonomy code 2080C0008X.

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, 1,123 practice 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 of Waiver (number 11D2099869) is associated with this NPI, valid through August 3, 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 September 30, 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.