WELLSTAR WEST COBB MEDICAL CENTER, LLC
NPI 1396791679
Family Medicine in Marietta, GA

NPI Status: Active since May 26, 2006

Contact Information

3707 LARGENT WAY NW
MARIETTA, GA
ZIP 30064
Phone: (678) 581-5729
Fax: (678) 581-5719

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  • Organization
  • Family Medicine
  • Accepts Insurance
  • CLIA Number: 11D2041541
  • CLIA Cert. Type: Hospice
  • CLIA Exp. Date: 05-23-2026

About WELLSTAR WEST COBB MEDICAL CENTER, LLC

This page provides the complete NPI Profile along with additional information for Wellstar West Cobb Medical Center, Llc, a primary care provider established in Marietta, Georgia operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1396791679 assigned on May 2006. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Nicole Ashe (Executive Director Of Finance)

NPI
1396791679
Provider Name
WELLSTAR WEST COBB MEDICAL CENTER, LLC
Entity Type
Organization
Location Address
3707 LARGENT WAY NW MARIETTA, GA 30064
Location Phone
(678) 581-5729
Location Fax
(678) 581-5719
Mailing Address
3707 LARGENT WAY NW MARIETTA, GA 30064
Mailing Phone
(678) 581-5729
Mailing Fax
(678) 581-5719
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-26-2006
Last Update Date
07-14-2008
Code Navigator

A primary care provider (PCP) like Wellstar West Cobb Medical Center, Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208000000XAllopathic & Osteopathic Physicians

Pediatrics

 

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

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

  • SoloCare Bronze EPO HDHP 8050 10004 - EPO
  • SoloCare Exp Bronze EPO 7200 - $0 Generic Rx 10015 - EPO
  • SoloCare Gold EPO 2300 - 3 Free PCP Visits, $5 Generic Rx 10010 - EPO
  • SoloCare Silver EPO 6000/60 - 3 Free PCP Visits 10014 - EPO
  • SoloCare Silver EPO 7000 - 3 Free PCP Visits, $5 Generic Rx 10013 - EPO
  • SoloCare Standard Exp Bronze EPO 10008 - EPO
  • SoloCare Standard Gold EPO 10006 - EPO
  • SoloCare Standard Platinum EPO 10005 - EPO
  • SoloCare Standard Silver EPO 10007 - EPO

*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

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
11D2041541
Facility Type
Hospice
Certificate Effective Date
May 24, 2024
Certificate Expiration Date
May 23, 2026
Laboratory Director
DR. MICHAEL ONEILL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Wellstar West Cobb Medical Center, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for WELLSTAR WEST COBB MEDICAL CENTER, LLC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1396791679
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
231861492614
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 8 + 6 + 1 + 4 + 9 + 2 + 6 + 1 + 4 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1396791679 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 10 providers are registered at the same or nearby location.

DR. LORI SPITZER CORLEY MD

Pediatrics

3707 LARGENT WAY NW
MARIETTA, GA
ZIP 30064

(678) 581-5729

DR. AMBER JO ORQUIA MD

Family Medicine

3707 LARGENT WAY NW
MARIETTA, GA
ZIP 30064

(678) 581-5830

MS. DIANE FOLLMER CNP

Nurse Practitioner

3707 LARGENT WAY NW
MARIETTA, GA
ZIP 30064

(678) 581-5729

ANGELA HERRINGTON FNP

Nurse Practitioner

(Family)

3707 LARGENT WAY NW
MARIETTA, GA
ZIP 30064

(678) 581-5729

WELLSTAR MEDICAL GROUP, LLC

Internal Medicine

3707 LARGENT WAY NW
MARIETTA, GA
ZIP 30064

(678) 581-5729

DR. DANIEL N SAADE MD

Pediatrics

3707 LARGENT WAY NW
MARIETTA, GA
ZIP 30064

(678) 581-5729

DR. ESHAMUMERENE ESIN M.D

Family Medicine

3707 LARGENT WAY NW
MARIETTA, GA
ZIP 30064

(678) 581-5729

KRISTIN BOST GAFFNEY PA-C, MSPAS

Physician Assistant

(Medical)

3707 LARGENT WAY NW
MARIETTA, GA
ZIP 30064

(678) 581-5729

RON ALLEYNE MD

Family Medicine

(Obesity Medicine)

3707 LARGENT WAY NW
MARIETTA, GA
ZIP 30064

(678) 581-5729

NEETY PATEL M.D.

Family Medicine

3707 LARGENT WAY NW
MARIETTA, GA
ZIP 30064

(678) 581-5830

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396791679, enumerated as an "organization" on May 26, 2006.

The provider is located at 3707 LARGENT WAY NW MARIETTA, GA 30064 and the phone number is (678) 581-5729.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Alliant Health Plans, Inc.. Please consult your insurance carrier or call the provider to verify.