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WELLSTAR UROLOGY
NPI 1467883512
Urology in Marietta, GA

Active since November 27, 2013CLIA Certified · 4 labs
55 WHITCHER ST NE, SUITE 250, MARIETTA, GA 30060(770) 428-4475(770) 426-1499 Get Directions Write a Review

NPPES record last updated: November 27, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Wellstar Urology NPPES

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

WELLSTAR UROLOGY (NPI 1467883512) is a healthcare organization registered as an urology in Marietta, Georgia and active in the NPI registry since November 2013. The organization holds 4 active CLIA laboratory certificates and lists Nicole Ashe, Executive Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1467883512
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameWELLSTAR MEDICAL GROUP, LLC
Location Address55 WHITCHER ST NE, SUITE 250Marietta, GA 30060-1155
Mailing Address55 Whitcher St Ne, Suite 250Marietta, GA 30060-1155 · (770) 428-4475 · Fax (770) 426-1499
Phone(770) 428-4475
Fax(770) 426-1499
Organization SubpartYes
Authorized OfficialNicole AsheExecutive Director Of Finance · (470) 644-0095
Enumeration DateNovember 27, 2013
✔ NPI 1467883512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
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.
55 WHITCHER ST NE, Marietta, GA 30060
Open in Google Maps ↗

Other Names 1

Doing Business AsWellstar Urology

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

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 Urology 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 Urology, which bills Medicare for the services they deliver. Of these, 220 practice at this address and 1,132 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
Jaleny Abajobir
Nurse Practitioner
NPI 1710452875
55 WHITCHER ST NE
Marietta, GA 30060
(770) 428-4475
✔ PECOS✔ Accepts MedicareSame address
Martha Aguilera, MD
General Surgery
NPI 1184697534
55 WHITCHER ST NE SUITE 130
Marietta, GA 30060
(770) 428-0462
✔ PECOS✔ Accepts MedicareSame address
Ayushi Ahuja, M.D.
Cardiovascular Disease (Cardiology)
NPI 1467630491
55 WHITCHER ST NE SUITE 350
Marietta, GA 30060
(770) 424-6893
✔ PECOS✔ Accepts MedicareSame address
Jose Andujar, MD
Colorectal Surgery (Proctology)
NPI 1821086554
55 WHITCHER ST NE SUITE 130
Marietta, GA 30060
(770) 428-0462
✔ PECOS✔ Accepts MedicareSame address
Walter Astorne, MD, FACP
Critical Care (Intensivists)
NPI 1518177500
55 WHITCHER ST NE STE 160
Marietta, GA 30060
(770) 422-1372
✔ PECOS✔ Accepts MedicareSame address
Amol Bapat, M.D.
Interventional Cardiology
NPI 1316937378
55 WHITCHER ST NE STE 350
Marietta, GA 30060
(770) 424-6893
✔ PECOS✔ Accepts MedicareSame address
Stephen Becher, MD
Orthopedic Surgery
NPI 1114175858
55 WHITCHER ST NE STE 260
Marietta, GA 30060
(943) 202-7050
✔ PECOS✔ Accepts MedicareSame address
Priya Behari, M.D.
Infectious Disease
NPI 1215967211
55 WHITCHER ST NE SUITE 220
Marietta, GA 30060
(770) 429-0083
✔ PECOS✔ Accepts MedicareSame address
Kristin Boren, M.D.
Urology
NPI 1316108673
55 WHITCHER ST NE SUITE 250
Marietta, GA 30060
(770) 428-4475
✔ PECOS✔ Accepts MedicareSame address
Wesley Bray, MD
Pulmonary Disease
NPI 1821013087
55 WHITCHER ST NE SUITE 160
Marietta, GA 30060
(770) 422-1372
✔ PECOSSame address
Ryan Breshears, PH.D.
Clinical Psychologist
NPI 1922273358
55 WHITCHER ST NE SUITE 420
Marietta, GA 30060
(770) 514-6760
✔ PECOS✔ Accepts MedicareSame address
Cesar Egoavil, M.D.
Cardiac Electrophysiology
NPI 1942279328
55 WHITCHER ST NE SUITE 350
Marietta, GA 30060
(770) 424-6893
✔ PECOS✔ Accepts MedicareSame address
Amanda Harris, LCSW
Clinical Social Worker
NPI 1679232144
55 WHITCHER ST NE STE 420
Marietta, GA 30060
(770) 514-6760
✔ PECOS✔ Accepts MedicareSame address
Chirag Patel, MD
Internal Medicine
NPI 1316045503
55 WHITCHER ST NE SUITE 420
Marietta, GA 30060
(770) 422-1372
✔ PECOSSame address
Kajal Patel, M.D.
Psychiatry
NPI 1649479973
55 WHITCHER ST NE SUITE 420
Marietta, GA 30060
(770) 514-6760
✔ PECOS✔ Accepts MedicareSame address
Mitzi Rubin, M.D.
Family Practice
NPI 1154403582
55 WHITCHER ST NE STE 400
Marietta, GA 30060
(470) 956-3960
✔ PECOS✔ Accepts MedicareSame address
Avery Calhoun
Hospitalist
NPI 1669932083
55 WHITCHER ST NE STE 350
Marietta, GA 30060
(770) 424-6893
✔ PECOSSame address
William Mayfield, M.D.
Thoracic Surgery
NPI 1780666719
61WHITCHER ST NE SUITE 4120
Marietta, GA 30060
(770) 424-9732
✔ PECOSSame address
William Benedict, M.D.
Neurosurgery
NPI 1285778613
61 WHITCHER ST NE SUITE 3110 KENNESTONE PHYSICIAN'S CENTER
Marietta, GA 30060
(770) 422-2326
✔ PECOS✔ Accepts MedicareSame address
Julie Duke, M.D.
Vascular Surgery
NPI 1043553803
61 WHITCHER ST NE STE 2100
Marietta, GA 30060
(770) 423-0595
✔ PECOS✔ Accepts MedicareSame address
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 4

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 11D2012501

Wellstar Urology West Georgia · Lagrange, GA
Active · expires Sep 6, 2028
CLIA Number11D2012501
Laboratory TypePhysician Office
Certificate Effective DateSeptember 7, 2026
Certificate Expiration DateSeptember 6, 2028
Laboratory DirectorRichard Jadick
Laboratory Phone(770) 428-4475
Laboratory LocationWellstar Urology West Georgia1555 Doctors Drive, Suite 101, Lagrange, GA 30240
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 11D0883816

Wellstar Urology - Douglas · Douglasville, GA
Active · expires Apr 7, 2028
CLIA Number11D0883816
Laboratory TypePhysician Office
Certificate Effective DateApril 8, 2026
Certificate Expiration DateApril 7, 2028
Laboratory DirectorGaspar Msangi
Laboratory Phone(770) 428-4475
Laboratory LocationWellstar Urology - Douglas4904 Timber Ridge Drive Suite 202, Douglasville, GA 30135
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 11D2181485

Wellstar Medical Group Urology · Holly Springs, GA
Active · expires Apr 5, 2028
CLIA Number11D2181485
Laboratory TypePhysician Office
Certificate Effective DateApril 6, 2026
Certificate Expiration DateApril 5, 2028
Laboratory DirectorJustin Watson
Laboratory Phone(770) 428-4475
Laboratory LocationWellstar Medical Group Urology1120 Wellstar Way, Suite 302, Holly Springs, GA 30114
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 11D2132678

Wellstar Medical Group Urology North Fulton · Roswell, GA
Active · expires Jun 26, 2027
CLIA Number11D2132678
Laboratory TypePhysician Office
Certificate Effective DateJune 27, 2025
Certificate Expiration DateJune 26, 2027
Laboratory DirectorSophia Goodridge
Laboratory Phone(770) 428-4475
Laboratory LocationWellstar Medical Group Urology North Fulton2500 Hospital Blvd, Suite 290, Roswell, GA 30076
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 1467883512. It was assigned to this organization in the NPPES registry on November 27, 2013. The provider is doing business as Wellstar Urology.

Where is Wellstar Medical Group, LLC located?

Wellstar Medical Group, LLC is located at 55 Whitcher St NE Suite 250, Marietta, GA 30060. The listed phone number is (770) 428-4475.

What is Wellstar Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

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, 220 practice at this address and 1,132 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Wellstar Medical Group, LLC hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Wellstar Medical Group, LLC was last updated on November 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.