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WELLSTAR KENNESAW MEDICAL CENTER
NPI 1376849919
Family Medicine in Kennesaw, GA

Active since January 30, 2011
3805 CHEROKEE ST NW, KENNESAW, GA 30144(770) 426-5666(770) 426-9212 Get Directions Write a Review

NPPES record last updated: November 18, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Wellstar Kennesaw Medical Center NPPES

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

WELLSTAR KENNESAW MEDICAL CENTER (NPI 1376849919) is a healthcare organization registered as a family medicine in Kennesaw, Georgia and active in the NPI registry since January 2011. The organization lists Nicole Ashe, Executive Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1376849919
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWELLSTAR MEDICAL GROUP, LLC
Location Address3805 CHEROKEE ST NWKennesaw, GA 30144-2085
Mailing Address3805 Cherokee St NwKennesaw, GA 30144-2085 · (770) 426-5666 · Fax (770) 426-9212
Phone(770) 426-5666
Fax(770) 426-9212
Organization SubpartYes
Authorized OfficialNicole AsheExecutive Director Of Finance · (470) 644-0095
Enumeration DateJanuary 30, 2011
Last NPPES UpdateNovember 18, 2013
✔ NPI 1376849919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X
3805 CHEROKEE ST NW, Kennesaw, GA 30144
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Other Names 1

Doing Business AsWellstar Kennesaw Medical Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 Kennesaw Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3,852

Medicare enrollment records show 3,852 clinicians reassign Medicare billing to Wellstar Kennesaw Medical Center, which bills Medicare for the services they deliver. Of these, 11 practice at this address and 802 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 specialties1,759

Nearest to this location (20)

See all 3,852
Jessica Foster, APRN
Nurse Practitioner
NPI 1457515363
3805 CHEROKEE ST NW
Kennesaw, GA 30144
(770) 426-5666
✔ PECOS✔ Accepts MedicareSame address
Jennifer Johnston, NP-C
Nurse Practitioner
NPI 1114268638
3805 CHEROKEE STREET KENNESAW INTERNAL MEDICINE
Kennesaw, GA 30144
(770) 426-5666
✔ PECOS✔ Accepts MedicareSame address
Nithya Guhanand, MD
Family Practice
NPI 1285809350
3805 CHEROKEE ST NW
Kennesaw, GA 30144
(470) 426-5666
✔ PECOS✔ Accepts MedicareSame address
Tamara Underwood, NP
Nurse Practitioner
NPI 1508631722
3805 CHEROKEE ST NW
Kennesaw, GA 30144
(770) 426-5666
✔ PECOS✔ Accepts MedicareSame address
Megha Patel, DO
Family Practice
NPI 1568951952
3805 CHEROKEE ST NW
Kennesaw, GA 30144
(770) 426-5666
✔ PECOS✔ Accepts MedicareSame address
Tami Breton, MD
Internal Medicine
NPI 1790775906
3805 CHEROKEE ST NW
Kennesaw, GA 30144
(770) 426-5666
✔ PECOS✔ Accepts MedicareSame address
William Broyles, MD
Family Practice
NPI 1700960424
3805 CHEROKEE ST NW
Kennesaw, GA 30144
(770) 426-5665
✔ PECOS✔ Accepts MedicareSame address
Charles Hoff, MD
Family Practice
NPI 1114992609
3805 CHEROKEE ST NW
Kennesaw, GA 30144
(770) 426-5665
✔ PECOS✔ Accepts MedicareSame address
Christopher Stevens, MD
Family Practice
NPI 1285702936
3805 CHEROKEE ST NW
Kennesaw, GA 30144
(770) 426-5665
✔ PECOS✔ Accepts MedicareSame address
Martricia Turner, N.P.
Nurse Practitioner
NPI 1033140595
3805 CHEROKEE ST NW
Kennesaw, GA 30144
(770) 426-5666
✔ PECOS✔ Accepts MedicareSame address
Janna Williams-Pitts, PHD
Clinical Psychologist
NPI 1063895837
3805 CHEROKEE ST NW
Kennesaw, GA 30144
(470) 956-3950
✔ PECOS✔ Accepts MedicareSame address
Bertha Calloway, NP
Nurse Practitioner
NPI 1154726909
2419 BROOKGREEN COMMONS NW
Kennesaw, GA 30144
(727) 458-4131
✔ PECOS1.2 mi
Tamara Yancey, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1265002885
2377 PROCTOR CREEK ENCLAVE
Acworth, GA 30101
(678) 768-7182
1.4 mi
James Hornsby, MD
Family Practice
NPI 1992701007
750 TOWN PARK LANE TOWN PARK COMPREHENSIVE MEDICAL CENTER
Kennesaw, GA 30144
(404) 365-0966
✔ PECOS✔ Accepts Medicare1.7 mi
Sudha Reddy, M.D.
Emergency Medicine
NPI 1932208055
750 TOWN PARK LANE KAISER PERMANENTE TOWN PARK MEDICAL CENTER
Kennesaw, GA 30144
(770) 514-5464
✔ PECOS✔ Accepts Medicare1.7 mi
Brian Finke, PAAA
Anesthesiology Assistant
NPI 1518986835
1640 AIRPORT RD NW STE 110
Kennesaw, GA 30144
(678) 202-2074
2.4 mi
Sabrina Clark, D.O.
Pediatric Medicine
NPI 1932527041
205 HAWKINS STORE RD NW STE B1
Kennesaw, GA 30144
(770) 928-0862
✔ PECOS2.7 mi
Stephanie Poteau, MD
Anesthesiology
NPI 1689171027
1300 RIDENOUR BLVD NW STE 300
Kennesaw, GA 30152
(770) 702-1806
✔ PECOS3.6 mi
Candice Darville, MD
Internal Medicine
NPI 1871835520
1550 KENNESAW DUE WEST RD NW # 100
Kennesaw, GA 30152
(943) 202-8520
✔ PECOS✔ Accepts Medicare4.2 mi
Kelly Weselman, MD
Rheumatology
NPI 1952370801
1816 EAGLE DR STE 200-B
Woodstock, GA 30189
(404) 255-5956
✔ PECOS✔ Accepts Medicare4.8 mi
See all 3,852 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 1376849919. It was assigned to this organization in the NPPES registry on January 30, 2011. The provider is doing business as Wellstar Kennesaw Medical Center.

Where is Wellstar Medical Group, LLC located?

Wellstar Medical Group, LLC is located at 3805 Cherokee St NW, Kennesaw, GA 30144. The listed phone number is (770) 426-5666.

What is Wellstar Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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), 3,852 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, 11 practice at this address and 802 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 18, 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.