WELLSTAR UROLOGY
NPI 1467883512
Urology in Marietta, GA
NPI Status: Active since November 27, 2013
Contact Information
55 WHITCHER ST NE
SUITE 250
MARIETTA, GA
ZIP 30060
Phone: (770) 428-4475
Fax: (770) 426-1499
- Organization
- Urology
- CLIA Number: 11D2181485
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-05-2028
About WELLSTAR UROLOGY
This page provides the complete NPI Profile along with additional information for Wellstar Urology, a provider established in Marietta, Georgia operating as a Urology. The healthcare provider is registered in the NPI registry with number 1467883512 assigned on November 2013. The practitioner's primary taxonomy code is 208800000X. The provider is registered as an organization and their NPI record was last updated 13 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 Urology. The authorized official of this NPI record is Mrs. Nicole Ashe (Executive Director Of Finance)
- NPI
- 1467883512
- Provider Legal Name
- WELLSTAR MEDICAL GROUP, LLC
- Other Organization Name
- WELLSTAR UROLOGY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 55 WHITCHER ST NE SUITE 250 MARIETTA, GA 30060
- Location Phone
- (770) 428-4475
- Location Fax
- (770) 426-1499
- Mailing Address
- 55 WHITCHER ST NE SUITE 250 MARIETTA, GA 30060
- Mailing Phone
- (770) 428-4475
- Mailing Fax
- (770) 426-1499
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 11-27-2013
- Last Update Date
- 11-27-2013
- Code Navigator
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
Urology
- Taxonomy Code
- 208800000X
- Type
- Allopathic & Osteopathic Physicians
- License State
- GA
- Taxonomy Description
- A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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.
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
- 11D2181485
- Facility Type
- Physician Office
- Certificate Effective Date
- April 06, 2026
- Certificate Expiration Date
- April 05, 2028
- Laboratory Director
- JUSTIN WATSON
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Wellstar Urology in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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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 1467883512, we treat the final digit (2) 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 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 68 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
MARIETTA, GA 30060
MARIETTA, GA 30060
MARIETTA, GA 30060
MARIETTA, GA 30060
MARIETTA, GA 30060
MARIETTA, GA 30060
MARIETTA, GA 30060
MARIETTA, GA 30060
MARIETTA, GA 30060
MARIETTA, GA 30060
MARIETTA, GA 30060
MARIETTA, GA 30060
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1467883512, enumerated as an "organization" on November 27, 2013.
The provider is located at 55 WHITCHER ST NE SUITE 250 MARIETTA, GA 30060 and the phone number is (770) 428-4475.
Urology with taxonomy code 208800000X.
