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

NPI Status: Active since March 30, 2015

Contact Information

736 WHITLOCK AVE NW
SUITE 600
MARIETTA, GA
ZIP 30064
Phone: (770) 801-3465
Fax: (770) 801-3465

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  • Organization
  • Pediatrics
  • Child Abuse Pediatrics
  • CLIA Number: 11D2099869
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 08-03-2027

About WELLSTAR SAFEPATH CHILDRENS ADVOCACY CENTER

This page provides the complete NPI Profile along with additional information for Wellstar Safepath Childrens Advocacy Center, a pediatrician established in Marietta, Georgia operating as a Pediatrics, focusing in child abuse pediatrics . The healthcare provider is registered in the NPI registry with number 1356736250 assigned on March 2015. The practitioner's primary taxonomy code is 2080C0008X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Wellstar Safepath Childrens Advocacy Center. The authorized official of this NPI record is Mrs. Nicole Ashe (Executive Director Of Finance)

NPI
1356736250
Provider Legal Name
WELLSTAR MEDICAL GROUP, LLC
Other Organization Name
WELLSTAR SAFEPATH CHILDRENS ADVOCACY CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
736 WHITLOCK AVE NW SUITE 600 MARIETTA, GA 30064
Location Phone
(770) 801-3465
Location Fax
(770) 801-3465
Mailing Address
736 WHITLOCK AVE NW SUITE 600 MARIETTA, GA 30064
Mailing Phone
(770) 801-3465
Mailing Fax
(770) 801-3465
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
03-30-2015
Last Update Date
09-30-2015
Code Navigator

A pediatrician like Wellstar Safepath Childrens Advocacy Center is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics Child Abuse Pediatrics

Taxonomy Code
2080C0008X
Type
Allopathic & Osteopathic Physicians
License State
GA
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. NICOLE ASHE

Authorized Official Title
EXECUTIVE DIRECTOR OF FINANCE
Authorized Official Phone
(470) 644-0095

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
11D2099869
Facility Type
Physician Office
Certificate Effective Date
August 04, 2025
Certificate Expiration Date
August 03, 2027
Laboratory Director
HANNAH CHAMBERS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Wellstar Safepath Childrens Advocacy Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1356736250, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
6
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
3
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
2
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 7 → 14 → 5 6 → 12 → 3 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 0 + 6 + 1 + 4 + 3 + 1 + 2 + 2 + 1 + 0 + 24 = 50

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 50 is 50. The difference is the calculated check digit.

50 - 50 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1356736250.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356736250, enumerated as an "organization" on March 30, 2015.

The provider is located at 736 WHITLOCK AVE NW SUITE 600 MARIETTA, GA 30064 and the phone number is (770) 801-3465.

Pediatrics with taxonomy code 2080C0008X and a focus in Child Abuse Pediatrics.