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

Q: 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.

Q: 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.

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: August 09, 2026.

On this page

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

Phone(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

Open in Google Maps ↗

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

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.

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 10 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.