WELLSTAR ENDOCRINOLOGY (AUSTELL)
NPI 1457766339
Internal Medicine - Endocrinology, Diabetes & Metabolism in Austell, GA

NPI Status: Active since June 30, 2014

Contact Information

3825 MEDICAL PARK DR
SUITE 100
AUSTELL, GA
ZIP 30106
Phone: (770) 941-8100
Fax: (770) 948-0771

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  • Organization
  • Internal Medicine
  • Endocrinology, Diabetes & Metabolism
  • CLIA Number: 11D2087324
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 11-20-2026

About WELLSTAR ENDOCRINOLOGY (AUSTELL)

This page provides the complete NPI Profile along with additional information for Wellstar Endocrinology (austell), an internist established in Austell, Georgia operating as a Internal Medicine, focusing in endocrinology, diabetes & metabolism . The healthcare provider is registered in the NPI registry with number 1457766339 assigned on June 2014. The practitioner's primary taxonomy code is 207RE0101X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Wellstar Endocrinology (austell). The authorized official of this NPI record is Mrs. Nicole Ashe (Executive Director Of Finance)

NPI
1457766339
Provider Legal Name
WELLSTAR MEDICAL GROUP, LLC
Other Organization Name
WELLSTAR ENDOCRINOLOGY (AUSTELL)
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3825 MEDICAL PARK DR SUITE 100 AUSTELL, GA 30106
Location Phone
(770) 941-8100
Location Fax
(770) 948-0771
Mailing Address
3825 MEDICAL PARK DR SUITE 100 AUSTELL, GA 30106
Mailing Phone
(770) 941-8100
Mailing Fax
(770) 948-0771
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
06-30-2014
Last Update Date
12-07-2015
Code Navigator

An internist like Wellstar Endocrinology (austell) is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, 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

Internal Medicine Endocrinology, Diabetes & Metabolism

Taxonomy Code
207RE0101X
Type
Allopathic & Osteopathic Physicians
License State
GA
Taxonomy Description
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Group Taxonomy 193400000X 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.

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
(470) 644-0095

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
11D2087324
Facility Type
Physician Office
Certificate Effective Date
November 21, 2024
Certificate Expiration Date
November 20, 2026
Laboratory Director
SAIRA ADEEL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Wellstar Endocrinology (austell) 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 ENDOCRINOLOGY (AUSTELL)

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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 1457766339, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

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
4
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
7
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
6
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
3
Unchanged
Pos 9
3
Doubled → 6
Check
9
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 5 → 10 → 1 7 → 14 → 5 6 → 12 → 3 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 1 + 0 + 7 + 1 + 4 + 6 + 1 + 2 + 3 + 6 + 24 = 61

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

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1457766339.

Other Providers at the Same Location


The following 16 providers are registered at the same or a nearby location.

Internal Medicine (Gastroenterology)
3825 MEDICAL PARK DR, SUITE 300
AUSTELL, GA 30106
Internal Medicine (Cardiovascular Disease)
3825 MEDICAL PARK DR, SUITE100
AUSTELL, GA 30106
Internal Medicine (Gastroenterology)
3825 MEDICAL PARK DR, SUITE 300
AUSTELL, GA 30106
Internal Medicine
3825 MEDICAL PARK DR, SUITE 100
AUSTELL, GA 30106
Internal Medicine
3825 MEDICAL PARK DR, SUITE 201
AUSTELL, GA 30106
Internal Medicine (Cardiovascular Disease)
3825 MEDICAL PARK DR, SUITE 100
AUSTELL, GA 30106
Internal Medicine
3825 MEDICAL PARK DR, SUITE 100
AUSTELL, GA 30106
Internal Medicine
3825 MEDICAL PARK DR, SUITE 201
AUSTELL, GA 30106
Non-Pharmacy Dispensing Site
3825 MEDICAL PARK DR, STE. 200
AUSTELL, GA 30106
Internal Medicine
3825 MEDICAL PARK DR, SUITE 201
AUSTELL, GA 30106
Internal Medicine
3825 MEDICAL PARK DR, SUITE 301
AUSTELL, GA 30106
Internal Medicine (Cardiovascular Disease)
3825 MEDICAL PARK DR, SUITE 301
AUSTELL, GA 30106
Nurse Practitioner (Adult Health)
3825 MEDICAL PARK DR, SUITE 100
AUSTELL, GA 30106
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3825 MEDICAL PARK DR, SUITE 201
AUSTELL, GA 30106
Nurse Practitioner (Family)
3825 MEDICAL PARK DR
AUSTELL, GA 30106
Clinic/Center (Endoscopy)
3825 MEDICAL PARK DR, SUITE 300
AUSTELL, GA 30106

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457766339, enumerated as an "organization" on June 30, 2014.

The provider is located at 3825 MEDICAL PARK DR SUITE 100 AUSTELL, GA 30106 and the phone number is (770) 941-8100.

Internal Medicine with taxonomy code 207RE0101X and a focus in Endocrinology, Diabetes & Metabolism.