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: November 01, 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
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

Other Names 1

Doing Business AsWellstar Pediatric After Hours Care

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wellstar Pediatric After Hours Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3,852

Medicare enrollment records show 3,852 clinicians reassign Medicare billing to Wellstar Pediatric After Hours Care, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 1,011 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 79

Nurse Practitioner773
Family Practice246
Internal Medicine225
Hospitalist215
Obstetrics/Gynecology165
Pediatric Medicine165
Certified Registered Nurse Anesthetist (CRNA)153
Anesthesiology151
71 other specialties1,759

Nearest to this location (20)

See all 3,852
Pediatric Medicine
NPI 1316382328
1180 ERNEST W BARRETT PKWY NW
Kennesaw, GA 30144
(678) 354-2273
✔ PECOSSame address
Pediatric Medicine
NPI 1700249018
1180 ERNEST W BARRETT PKWY NW STE 102A
Kennesaw, GA 30144
(470) 956-9171
✔ PECOSSame address
Pediatric Medicine
NPI 1326064007
1180 ERNEST W BARRETT PKWY NW WELLSTAR MEDICAL GROUP LLC
Kennesaw, GA 30144
(770) 427-0183
✔ PECOSSame address
Pediatric Medicine
NPI 1972892255
1180 ERNEST W BARRETT PKWY NW STE 102A
Kennesaw, GA 30144
(470) 956-9171
✔ PECOSSame address
Pediatric Medicine
NPI 1003010976
1180 ERNEST W BARRETT PKWY NW STE 102B
Kennesaw, GA 30144
(678) 354-2273
✔ PECOSSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1194161158
1300 RIDENOUR BLVD NW STE 300
Kennesaw, GA 30152
(770) 702-1806
0.5 mi
Anesthesiology
NPI 1689171027
1300 RIDENOUR BLVD NW STE 300
Kennesaw, GA 30152
(770) 702-1806
✔ PECOS0.5 mi
Anesthesiology Assistant
NPI 1992257943
1621 N ROBERTS RD NW STE 110
Kennesaw, GA 30144
(770) 702-1806
0.8 mi
Anesthesiology Assistant
NPI 1518986835
1640 AIRPORT RD NW STE 110
Kennesaw, GA 30144
(678) 202-2074
1.0 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1649205840
1640 AIRPORT RD NW STE 110
Kennesaw, GA 30144
(678) 202-2074
✔ Accepts Medicare1.0 mi
Internal Medicine
NPI 1619968732
1810 WHITE CIR STE 120
Marietta, GA 30066
(770) 420-1600
✔ PECOS✔ Accepts Medicare1.3 mi
Family Practice
NPI 1891746152
1810 WHITE CIR STE 105
Marietta, GA 30066
(678) 797-6820
✔ PECOS✔ Accepts Medicare1.3 mi
Nurse Practitioner
NPI 1881255511
1810 WHITE CIR STE 105
Marietta, GA 30066
(678) 797-6820
✔ PECOS✔ Accepts Medicare1.3 mi
Pediatric Medicine
NPI 1821088972
760 KENNESAW AVE NW
Marietta, GA 30060
(770) 427-0183
✔ PECOS2.3 mi
Emergency Medicine
NPI 1932208055
750 TOWN PARK LANE KAISER PERMANENTE TOWN PARK MEDICAL CENTER
Kennesaw, GA 30144
(770) 514-5464
✔ PECOS✔ Accepts Medicare2.6 mi
Advanced Heart Failure and Transplant Cardiology
NPI 1578827234
175 WHITE ST NW STE 100
Marietta, GA 30060
(470) 793-0200
✔ PECOS✔ Accepts Medicare2.6 mi
Clinical Social Worker
NPI 1841728805
175 WHITE ST NW
Marietta, GA 30060
(470) 793-0212
✔ PECOS✔ Accepts Medicare2.6 mi
Critical Care (Intensivists)
NPI 1225398175
400 TOWER RD NE STE 200
Marietta, GA 30060
(770) 422-1372
✔ PECOS✔ Accepts Medicare2.7 mi
Pulmonary Disease
NPI 1245281948
400 TOWER RD NE STE 200
Marietta, GA 30060
(770) 422-1372
✔ PECOS✔ Accepts Medicare2.7 mi
Rheumatology
NPI 1003261967
400 TOWER RD NE STE 160
Marietta, GA 30060
(770) 420-1690
✔ PECOS✔ Accepts Medicare2.7 mi
See all 3,852 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.

Is Wellstar Medical Group, LLC enrolled in Medicare?

Yes. Wellstar Medical Group, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wellstar Medical Group, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3,852 clinicians in 79 Medicare specialties reassign their Medicare billing to Wellstar Medical Group, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (773), Family Practice (246) and Internal Medicine (225). Of these, 5 practice at this address and 1,011 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.