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WELLSTAR MEDICAL GROUP, LLC
NPI 1497616742
Clinic/Center - Student Health in Marietta, GA

Active since November 18, 2025
1000 TECHNOLOGY WAY SUITE 1107, MARIETTA, GA 30060(470) 578-6644(470) 578-9205 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wellstar Medical Group, Llc NPPES

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

WELLSTAR MEDICAL GROUP, LLC (NPI 1497616742), doing business as Ksu Student Health Services, is a healthcare organization registered as a student health in Marietta, Georgia and active in the NPI registry since November 2025. The organization lists Chhavi Noohani, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1497616742
Entity TypeOrganization
Primary Taxonomy261QS1000X
Legal Business NameWELLSTAR MEDICAL GROUP, LLC
Location Address1000 TECHNOLOGY WAY SUITE 1107Marietta, GA 30060
Mailing Address793 Sawyer RoadMarietta, GA 30062
Phone(470) 578-6644
Fax(470) 578-9205
Organization SubpartNo
Authorized OfficialChhavi NoohaniMedical Director · (470) 578-6644
Enumeration DateNovember 18, 2025
✔ NPI 1497616742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Student HealthAmbulatory Health Care Facilities
Taxonomy Code261QS1000X
1000 TECHNOLOGY WAY SUITE 1107, Marietta, GA 30060
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Other Names 1

Doing Business AsKsu Student Health Services

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 1497616742. It was assigned to this organization in the NPPES registry on November 18, 2025. The provider is doing business as KSU Student Health Services.

Where is Wellstar Medical Group, LLC located?

Wellstar Medical Group, LLC is located at 1000 Technology Way Suite 1107, Marietta, GA 30060. The listed phone number is (470) 578-6644.

What is Wellstar Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Student Health, with taxonomy code 261QS1000X.

When was this NPI record last updated?

The NPPES record for Wellstar Medical Group, LLC was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.