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WELLSTAR FAMILY MEDICINE AT EDGEWATER HALL
NPI 1386054278
Family Medicine in Canton, GA

Active since May 01, 2014
687 MARIETTA HWY, CANTON, GA 30114(770) 479-8040(770) 479-7871 Get Directions Write a Review

NPPES record last updated: May 1, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Wellstar Family Medicine At Edgewater Hall NPPES

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

WELLSTAR FAMILY MEDICINE AT EDGEWATER HALL (NPI 1386054278) is a healthcare organization registered as a family medicine in Canton, Georgia and active in the NPI registry since May 2014. The organization lists Nicole Ashe, Executive Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1386054278
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWELLSTAR MEDICAL GROUP, LLC
Location Address687 MARIETTA HWYCanton, GA 30114-2608
Mailing Address687 Marietta HwyCanton, GA 30114-2608 · (770) 479-8040 · Fax (770) 479-7871
Phone(770) 479-8040
Fax(770) 479-7871
Organization SubpartYes
Authorized OfficialNicole AsheExecutive Director Of Finance · (470) 644-0095
Enumeration DateMay 1, 2014
✔ NPI 1386054278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
687 MARIETTA HWY, Canton, GA 30114
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Other Names 1

Doing Business AsWellstar Family Medicine At Edgewater Hall

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DONNA C. HALEY, M.D., P.C.
Family Medicine
687 MARIETTA HWY
CANTON, GA 30114
Cherokee County (770) 479-8040
DR. ERNESTO E HERNANDEZ MD
Internal Medicine (Cardiovascular Disease)
687 MARIETTA HWY, SUITE 102
CANTON, GA 30114
Cherokee County (770) 704-1955
FRANCHESKA DESRAVINES ALCIDE M.D.
Family Medicine
687 MARIETTA HWY
CANTON, GA 30114
Cherokee County (770) 479-8040
FALLON HOUK FNP
Nurse Practitioner (Family)
687 MARIETTA HWY
CANTON, GA 30114
Cherokee County (770) 479-8040
DONNA CAROL HALEY MD
Family Medicine
687 MARIETTA HWY
CANTON, GA 30114
Cherokee County (770) 479-8040
ADA IVETTE MERCADO MD
Internal Medicine (Cardiovascular Disease)
687 MARIETTA HWY
CANTON, GA 30114
Cherokee County (770) 704-1955

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 1386054278. It was assigned to this organization in the NPPES registry on May 1, 2014. The provider is doing business as Wellstar Family Medicine At Edgewater Hall.

Where is Wellstar Medical Group, LLC located?

Wellstar Medical Group, LLC is located at 687 Marietta Hwy, Canton, GA 30114. The listed phone number is (770) 479-8040.

What is Wellstar Medical Group, LLC's specialty?

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

What insurance does Wellstar Medical Group, LLC accept?

Health plans from Alliant Health Plans, Inc. list Wellstar Medical Group, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wellstar Medical Group, LLC was last updated on May 1, 2014. 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.