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ROGER GARY WELLBORN MD
NPI 1417051152
Family Medicine in Carrollton, GA

Active since September 12, 2006
624 DIXIE STREET, CARROLLTON, GA 30117(770) 832-9593(770) 832-0440 Get Directions Write a Review

NPPES record last updated: February 2, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Roger Gary Wellborn Md NPPES

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

ROGER GARY WELLBORN MD (NPI 1417051152) is an individual family medicine provider in Carrollton, Georgia, licensed in Georgia (21441) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1417051152
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameROGER GARY WELLBORNCredential: MD
Location Address624 DIXIE STREETCarrollton, GA 30117-3817
Mailing Address624 Dixie StreetCarrollton, GA 30117-3817 · (770) 832-9593 · Fax (770) 832-0440
Phone(770) 832-9593
Fax(770) 832-0440
Sole ProprietorNo
Enumeration DateSeptember 12, 2006
Last NPPES UpdateFebruary 2, 2012
✔ NPI 1417051152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 21441
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.
624 DIXIE STREET, Carrollton, GA 30117
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Other Identifiers 2

Medicaid00260202AGA
Medicare UPINF37091

Other Providers at the Same Location NPPES 2

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

DRS GENTRY WELLBORN & MCGHEE
Family Medicine
624 DIXIE STREET
CARROLLTON, GA 30117
Carroll County (770) 832-9593
PAUL DOUGLAS GENTRY MD
Family Medicine
624 DIXIE STREET
CARROLLTON, GA 30117
Carroll County (770) 832-9593

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 Roger Wellborn's NPI number?

The NPI number for Roger Wellborn is 1417051152. It was assigned to this individual provider in the NPPES registry on September 12, 2006.

Where is Roger Wellborn located?

Roger Wellborn practices at 624 Dixie Street, Carrollton, GA 30117. The listed phone number is (770) 832-9593.

What is Roger Wellborn's specialty?

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

When was this NPI record last updated?

The NPPES record for Roger Wellborn was last updated on February 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.