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WELLSTAR MEDICAL GROUP EAST PAULDING PEDIATRICS
NPI 1396738381
Specialist in Hiram, GA

Active since August 25, 2005
51 HIRAM DR, HIRAM, GA 30141(678) 945-8300(770) 445-2020 Get Directions Write a Review

NPPES record last updated: December 8, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Wellstar Medical Group East Paulding Pediatrics NPPES

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

WELLSTAR MEDICAL GROUP EAST PAULDING PEDIATRICS (NPI 1396738381) is a healthcare organization registered as a specialist in Hiram, Georgia and active in the NPI registry since August 2005. The organization lists Kelly Davillier, Physician, as its authorized official.

NPPES Registry Identity

NPI1396738381
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameWELLSTAR MEDICAL GROUP EAST PAULDING PEDIATRICS
Location Address51 HIRAM DRHiram, GA 30141-1844
Mailing Address51 Hiram DrHiram, GA 30141-1844 · (678) 945-8300 · Fax (770) 445-2020
Phone(678) 945-8300
Fax(770) 445-2020
Organization SubpartYesParent: Wellstar Medical Group
Authorized OfficialKelly DavillierPhysician · (678) 945-8320
Enumeration DateAugust 25, 2005
Last NPPES UpdateDecember 8, 2011
✔ NPI 1396738381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in LA · 024912
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
51 HIRAM DR, Hiram, GA 30141
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Other Identifiers 2

Medicaid1899964650AGA
Medicaid1420565LA

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

Other Providers at the Same Location NPPES 7

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

MRS. SARA HUNLOCK TEMPLE APRN
Nurse Practitioner (Pediatrics)
51 HIRAM DR
HIRAM, GA 30141
Paulding County (678) 945-8300
DR. ANDREA JANEL THAMES-ALLEN MD
Pediatrics
51 HIRAM DR, BLDG B
HIRAM, GA 30141
Paulding County (678) 945-8300
MRS. NICOLE MARIE MCHARGUE MS, RN, CPNP
Nurse Practitioner (Pediatrics)
51 HIRAM DR
HIRAM, GA 30141
Paulding County (678) 945-8300
WELLSTAR MEDICAL GROUP, LLC
Pediatrics
51 HIRAM DR, BUILDING B
HIRAM, GA 30141
Paulding County (678) 945-8300
MRS. NICOLE B SPITALNICK CPNP
Nurse Practitioner (Pediatrics)
51 HIRAM DR, BUILDING B
HIRAM, GA 30141
Paulding County (678) 945-8300
WELLSTAR EAST PAULDING PEDIATRIC CENTER, LLC
Pediatrics
51 HIRAM DR, BUILDING B
HIRAM, GA 30141
Paulding County (678) 945-8300
DR. LAURA VERIGAN MD
Pediatrics
51 HIRAM DR, BLDG B
HIRAM, GA 30141
Paulding County (678) 945-8300

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 East Paulding Pediatrics's NPI number?

The NPI number for Wellstar Medical Group East Paulding Pediatrics is 1396738381. It was assigned to this organization in the NPPES registry on August 25, 2005.

Where is Wellstar Medical Group East Paulding Pediatrics located?

Wellstar Medical Group East Paulding Pediatrics is located at 51 Hiram Dr, Hiram, GA 30141. The listed phone number is (678) 945-8300.

What is Wellstar Medical Group East Paulding Pediatrics's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Wellstar Medical Group East Paulding Pediatrics was last updated on December 8, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.