WELLSTAR DOUGLASVILLE MEDICAL CENTER - NPI 1386940922 - Internal Medicine in Douglasville, GA

Q: What is Wellstar Medical Group, LLC's NPI number?

The NPI number for Wellstar Medical Group, LLC is 1386940922. It was assigned to this organization in the NPPES registry on January 30, 2011. The provider is doing business as Wellstar Douglasville Medical Center.

Q: What is Wellstar Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

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About Wellstar Douglasville Medical Center NPPES

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

WELLSTAR DOUGLASVILLE MEDICAL CENTER (NPI 1386940922) is a healthcare organization registered as an internal medicine in Douglasville, Georgia and active in the NPI registry since January 2011. The organization holds a CLIA Waiver certificate valid through July 19, 2028 and lists Nicole Ashe, Executive Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1386940922

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameWELLSTAR MEDICAL GROUP, LLC

Location Address8820 HOSPITAL DRDouglasville, GA 30134-2266

Mailing Address8820 Hospital DrDouglasville, GA 30134-2266 · (770) 947-3000 · Fax (770) 947-3012

Phone(770) 947-3000

Fax(770) 947-3012

Organization SubpartYes

Authorized OfficialNicole AsheExecutive Director Of Finance · (470) 644-0095

Enumeration DateJanuary 30, 2011

Last NPPES UpdateNovember 19, 2013

✔ NPI 1386940922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

8820 HOSPITAL DR, Douglasville, GA 30134

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Other Names 1

Doing Business AsWellstar Douglasville Medical 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

Accepted Insurance

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

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 11D0696470

Wellstar Douglas Internal Medicine · Douglasville, GA

Active · expires Jul 19, 2028

CLIA Number11D0696470

Laboratory TypePhysician Office

Certificate Effective DateJuly 20, 2026

Certificate Expiration DateJuly 19, 2028

Laboratory DirectorSatyajeet Patel

Laboratory Phone(770) 947-3000

Laboratory LocationWellstar Douglas Internal Medicine8820 Hospital Drive, Douglasville, GA 30134

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 16

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

MICHELLE D. WIGLEY LCSW

Social Worker (Clinical)