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

Active since June 30, 2014CLIA 11D2087324 · Waiver
3825 MEDICAL PARK DR, SUITE 100, AUSTELL, GA 30106(770) 941-8100(770) 948-0771 Get Directions Write a Review

NPPES record last updated: December 7, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wellstar Endocrinology (austell) NPPES

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

WELLSTAR ENDOCRINOLOGY (AUSTELL) (NPI 1457766339) is a healthcare organization registered as an endocrinology, diabetes & metabolism in Austell, Georgia and active in the NPI registry since June 2014. The organization holds a CLIA Waiver certificate valid through November 20, 2026 and lists Nicole Ashe, Executive Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1457766339
Entity TypeOrganization
Primary Taxonomy207RE0101X
Legal Business NameWELLSTAR MEDICAL GROUP, LLC
Location Address3825 MEDICAL PARK DR, SUITE 100Austell, GA 30106-6831
Mailing Address3825 Medical Park Dr, Suite 100Austell, GA 30106-6831 · (770) 941-8100 · Fax (770) 948-0771
Phone(770) 941-8100
Fax(770) 948-0771
Organization SubpartYes
Authorized OfficialNicole AsheExecutive Director Of Finance · (470) 644-0095
Enumeration DateJune 30, 2014
Last NPPES UpdateDecember 7, 2015
✔ NPI 1457766339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Definition
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.
3825 MEDICAL PARK DR, Austell, GA 30106
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Other Names 1

Doing Business AsWellstar Endocrinology (austell)

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2087324

Wellstar Endocrinology Austell · Austell, GA
Active · expires Nov 20, 2026
CLIA Number11D2087324
Laboratory TypePhysician Office
Certificate Effective DateNovember 21, 2024
Certificate Expiration DateNovember 20, 2026
Laboratory DirectorSaira Adeel
Laboratory Phone(770) 948-5578
Laboratory LocationWellstar Endocrinology Austell3825 Medical Park Drive Ste 200, Austell, GA 30106
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 16

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

WELLSTAR MEDICAL GROUP, LLC
Internal Medicine
3825 MEDICAL PARK DR, SUITE 201
AUSTELL, GA 30106
Cobb County (770) 941-8100
DR. NIRANJAN J DAVE MD
Internal Medicine (Cardiovascular Disease)
3825 MEDICAL PARK DR, SUITE100
AUSTELL, GA 30106
Cobb County (770) 944-2245
PHILICIA L ANDREWS MD
Internal Medicine
3825 MEDICAL PARK DR, SUITE 301
AUSTELL, GA 30106
Cobb County (770) 739-9971
WELLSTAR MEDICAL GROUP, LLC
Internal Medicine
3825 MEDICAL PARK DR, SUITE 100
AUSTELL, GA 30106
Cobb County (770) 948-8680
DRUENELL ELIA LINTON MD
Internal Medicine (Cardiovascular Disease)
3825 MEDICAL PARK DR, SUITE 301
AUSTELL, GA 30106
Cobb County (770) 941-7741
NIRANJAN J DAVE MD PC
Internal Medicine (Cardiovascular Disease)
3825 MEDICAL PARK DR, SUITE 100
AUSTELL, GA 30106
Cobb County (770) 944-2245
JASMINE JEFFERS, MD, LLC
Internal Medicine (Gastroenterology)
3825 MEDICAL PARK DR, SUITE 300
AUSTELL, GA 30106
Cobb County (770) 941-4810
DR. SAIRA ADEEL M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3825 MEDICAL PARK DR, SUITE 201
AUSTELL, GA 30106
Cobb County (770) 941-8100

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, LLC's NPI number?

The NPI number for Wellstar Medical Group, LLC is 1457766339. It was assigned to this organization in the NPPES registry on June 30, 2014. The provider is doing business as Wellstar Endocrinology (austell).

Where is Wellstar Medical Group, LLC located?

Wellstar Medical Group, LLC is located at 3825 Medical Park Dr Suite 100, Austell, GA 30106. The listed phone number is (770) 941-8100.

What is Wellstar Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Does Wellstar Medical Group, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2087324) is associated with this NPI, valid through November 20, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wellstar Medical Group, LLC was last updated on December 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.