WELLSTAR URGENT CARE AT TOWNE LAKE
NPI 1396030078
Clinic/Center - Urgent Care in Woodstock, GA

NPI Status: Active since June 10, 2011

Contact Information

120 STONEBRIDGE PKWY
SUITE 310
WOODSTOCK, GA
ZIP 30189
Phone: (678) 494-2500
Fax: (678) 494-2629

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  • Organization
  • Clinic/Center
  • Urgent Care
  • Accepts Insurance
  • CLIA Number: 11D2303250
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 11-30-2027

About WELLSTAR URGENT CARE AT TOWNE LAKE

This page provides the complete NPI Profile along with additional information for Wellstar Urgent Care At Towne Lake, a provider established in Woodstock, Georgia operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1396030078 assigned on June 2011. The practitioner's primary taxonomy code is 261QU0200X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The provider's is doing business as Wellstar Urgent Care At Towne Lake. The authorized official of this NPI record is Mrs. Nicole Ashe (Executive Director Of Finance)

NPI
1396030078
Provider Legal Name
WELLSTAR MEDICAL GROUP, LLC
Other Organization Name
WELLSTAR URGENT CARE AT TOWNE LAKE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
120 STONEBRIDGE PKWY SUITE 310 WOODSTOCK, GA 30189
Location Phone
(678) 494-2500
Location Fax
(678) 494-2629
Mailing Address
120 STONEBRIDGE PKWY SUITE 310 WOODSTOCK, GA 30189
Mailing Phone
(678) 494-2500
Mailing Fax
(678) 494-2629
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
06-10-2011
Last Update Date
06-10-2011
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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

Clinic/Center Urgent Care

Taxonomy Code
261QU0200X
Type
Ambulatory Health Care Facilities
License State
GA

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • MENDING Direct Primary Care Bronze 4950 ($0 DPC + $0 PCP + $0 Mental Health) - HMO
  • MENDING Direct Primary Care Gold $0 Ded ($0 DPC $0 PCP + $0 Mental Health) - HMO
  • MENDING Direct Primary Care Silver 2300 ($0 DPC + $0 PCP + $0 Mental Health) - HMO
  • MENDING Standard Bronze (No Direct Primary Care, for DPC select DPC Bronze) - HMO
  • MENDING Standard Gold (No Direct Primary Care, for DPC select DPC Gold) - HMO
  • MENDING Standard Silver (No Direct Primary Care, for DPC select DPC Silver) - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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
(770) 792-5261

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
11D2303250
Facility Type
Physician Office
Certificate Effective Date
December 01, 2025
Certificate Expiration Date
November 30, 2027
Laboratory Director
MIHAELA ILLE
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Wellstar Urgent Care At Towne Lake after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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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 1396030078, we treat the final digit (8) 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 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).

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
9
Doubled → 18 → 1 + 8
Pos 4
6
Unchanged
Pos 5
0
Doubled → 0
Pos 6
3
Unchanged
Pos 7
0
Doubled → 0
Pos 8
0
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
8
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 9 → 18 → 9 0 → 0 0 → 0 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 1 + 8 + 6 + 0 + 3 + 0 + 0 + 1 + 4 + 24 = 52

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

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1396030078.

Other Providers at the Same Location


The following 12 providers are registered at the same or a nearby location.

Emergency Medicine
120 STONEBRIDGE PKWY
WOODSTOCK, GA 30189
Physical Therapist (Orthopedic)
120 STONEBRIDGE PKWY, SUITE 100
WOODSTOCK, GA 30189
Internal Medicine (Cardiovascular Disease)
120 STONEBRIDGE PKWY, SUITE 440
WOODSTOCK, GA 30189
Internal Medicine (Cardiovascular Disease)
120 STONEBRIDGE PKWY, SUITE 110
WOODSTOCK, GA 30189
Durable Medical Equipment & Medical Supplies
120 STONEBRIDGE PKWY, SUITE 440
WOODSTOCK, GA 30189
Orthopaedic Surgery
120 STONEBRIDGE PKWY, SUITE 440
WOODSTOCK, GA 30189
Internal Medicine
120 STONEBRIDGE PKWY
WOODSTOCK, GA 30189
Nurse Practitioner (Family)
120 STONEBRIDGE PKWY
WOODSTOCK, GA 30189
Clinic/Center (Pain)
120 STONEBRIDGE PKWY, SUITE 420
WOODSTOCK, GA 30189
Pain Medicine (Interventional Pain Medicine)
120 STONEBRIDGE PKWY, SUITE 420
WOODSTOCK, GA 30189
Clinic/Center (Ambulatory Surgical)
120 STONEBRIDGE PKWY, SUITE 420
WOODSTOCK, GA 30189
Nurse Practitioner (Family)
120 STONEBRIDGE PKWY, SUITE 410
WOODSTOCK, GA 30189

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396030078, enumerated as an "organization" on June 10, 2011.

The provider is located at 120 STONEBRIDGE PKWY SUITE 310 WOODSTOCK, GA 30189 and the phone number is (678) 494-2500.

Clinic/Center with taxonomy code 261QU0200X and a focus in Urgent Care.

The provider might be accepting Accepts: Mending Health. Please consult your insurance carrier or call the provider to verify.