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WELLSTAR PEDIATRIC AFTER HOURS CARE
NPI 1457771925
Pediatrics in Kennesaw, GA

Active since April 23, 2014CLIA 11D2080638 · Waiver
1180 ERNEST W BARRETT PKWY NW, SUITE 102B, KENNESAW, GA 30144(678) 354-2273(770) 794-6837 Get Directions Write a Review

NPPES record last updated: June 10, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wellstar Pediatric After Hours Care NPPES

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

WELLSTAR PEDIATRIC AFTER HOURS CARE (NPI 1457771925) is a healthcare organization registered as a pediatrics in Kennesaw, Georgia and active in the NPI registry since April 2014. The organization holds a CLIA Waiver certificate valid through March 6, 2028 and lists Nicole Ashe, Executive Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1457771925
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameWELLSTAR MEDICAL GROUP, LLC
Location Address1180 ERNEST W BARRETT PKWY NW, SUITE 102BKennesaw, GA 30144-4534
Mailing Address1180 Ernest W Barrett Pkwy Nw, Suite 102bKennesaw, GA 30144-4534 · (678) 354-2273 · Fax (770) 794-6837
Phone(678) 354-2273
Fax(770) 794-6837
Organization SubpartYes
Authorized OfficialNicole AsheExecutive Director Of Finance · (470) 644-0095
Enumeration DateApril 23, 2014
Last NPPES UpdateJune 10, 2015
✔ NPI 1457771925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
1180 ERNEST W BARRETT PKWY NW, Kennesaw, GA 30144
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Other Names 1

Doing Business AsWellstar Pediatric After Hours Care

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

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 11D2080638

Wellstar Pediatric After Hours · Kennesaw, GA
Active · expires Mar 6, 2028
CLIA Number11D2080638
Laboratory TypePhysician Office
Certificate Effective DateMarch 7, 2026
Certificate Expiration DateMarch 6, 2028
Laboratory DirectorNicole Davidson
Laboratory Phone(678) 354-2273
Laboratory LocationWellstar Pediatric After Hours1180 Ernest W Barrett Parkway, NW, Suite 102B, Kennesaw, GA 30144
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

BRYANA FERRIS MD
Pediatrics
1180 ERNEST W BARRETT PKWY NW
KENNESAW, GA 30144
Cobb County (678) 354-2273
DR. BRIANNA SEAWOOD DPT
Physical Therapist (Pediatrics)
1180 ERNEST W BARRETT PKWY NW
KENNESAW, GA 30144
Cobb County (678) 797-5734
WELLSTAR MEDICAL GROUP, LLC
Anesthesiology
1180 ERNEST W BARRETT PKWY NW, SUITE 100
KENNESAW, GA 30144
Cobb County (770) 644-1274
NICOLE ADRIANA DAVIDSON MD
Pediatrics
1180 ERNEST W BARRETT PKWY NW
KENNESAW, GA 30144
Cobb County (678) 354-2273
REGINA FRANCES ROBBINS M.D.
Pediatrics
1180 ERNEST W BARRETT PKWY NW, WELLSTAR MEDICAL GROUP LLC
KENNESAW, GA 30144
Cobb County (770) 427-0183
ALLISON JONES
Physician Assistant
1180 ERNEST W BARRETT PKWY NW
KENNESAW, GA 30144
Cobb County (404) 321-9900
WELLSTAR MEDICAL GROUP, LLC
Anesthesiology (Pediatric Anesthesiology)
1180 ERNEST W BARRETT PKWY NW, SUITE 100
KENNESAW, GA 30144
Cobb County (770) 644-1274

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 1457771925. It was assigned to this organization in the NPPES registry on April 23, 2014. The provider is doing business as Wellstar Pediatric After Hours Care.

Where is Wellstar Medical Group, LLC located?

Wellstar Medical Group, LLC is located at 1180 Ernest W Barrett Pkwy NW Suite 102B, Kennesaw, GA 30144. The listed phone number is (678) 354-2273.

What is Wellstar Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

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

Yes. A Certificate of Waiver (number 11D2080638) is associated with this NPI, valid through March 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Wellstar Medical Group, LLC accept?

Health plans from Alliant Health Plans, Inc. list Wellstar Medical Group, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wellstar Medical Group, LLC was last updated on June 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.