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WELLSTAR ALLERGY & ASTHMA
NPI 1538467303
Allergy & Immunology in Smyrna, GA

Active since March 03, 2011CLIA 11D2103335 · Waiver
4480 N COOPER LAKE RD SE, STE. 101, SMYRNA, GA 30082(770) 333-2027(770) 333-2031 Get Directions Write a Review

NPPES record last updated: November 19, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wellstar Allergy & Asthma NPPES

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

WELLSTAR ALLERGY & ASTHMA (NPI 1538467303) is a healthcare organization registered as an allergy & immunology in Smyrna, Georgia and active in the NPI registry since March 2011. The organization holds a CLIA Waiver certificate valid through October 8, 2027 and lists Nicole Ashe, Executive Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1538467303
Entity TypeOrganization
Primary Taxonomy207K00000X
Legal Business NameWELLSTAR MEDICAL GROUP, LLC
Location Address4480 N COOPER LAKE RD SE, STE. 101Smyrna, GA 30082-4622
Mailing Address4480 N Cooper Lake Rd Se, Ste. 101Smyrna, GA 30082-4622 · (770) 333-2027 · Fax (770) 333-2031
Phone(770) 333-2027
Fax(770) 333-2031
Organization SubpartYes
Authorized OfficialNicole AsheExecutive Director Of Finance · (470) 644-0095
Enumeration DateMarch 3, 2011
Last NPPES UpdateNovember 19, 2013
✔ NPI 1538467303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
Definition
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
4480 N COOPER LAKE RD SE, Smyrna, GA 30082
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Other Names 1

Doing Business AsWellstar Allergy & Asthma

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

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 11D2103335

Wellstar Medical Group Allergy & Asthma · Smyrna, GA
Active · expires Oct 8, 2027
CLIA Number11D2103335
Laboratory TypePhysician Office
Certificate Effective DateOctober 9, 2025
Certificate Expiration DateOctober 8, 2027
Laboratory DirectorBelinda Graham
Laboratory Phone(770) 333-2027
Laboratory LocationWellstar Medical Group Allergy & Asthma4441 Atlanta Rd SE Suite 219, Smyrna, GA 30080
CLIA data matches this NPI record on: 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.

WELLSTAR MEDICAL GROUP, LLC
Internal Medicine (Rheumatology)
4480 N COOPER LAKE RD SE, SUITE 201
SMYRNA, GA 30082
Cobb County (770) 333-2035
MICHAEL D SIMPSON M.D.
Internal Medicine
4480 N COOPER LAKE RD SE
SMYRNA, GA 30082
Cobb County (770) 333-1300
MR. SPENCER ALEXANDER PATRICK DDS
Dentist (General Practice)
4480 N COOPER LAKE RD SE, SUITE 210
SMYRNA, GA 30082
Cobb County (770) 863-0005
DR. JAMES K SMITH MD
Internal Medicine (Rheumatology)
4480 N COOPER LAKE RD SE
SMYRNA, GA 30082
Cobb County (470) 644-0122
WELLSTAR RHEUMATOLOGY, LLC
Internal Medicine (Rheumatology)
4480 N COOPER LAKE RD SE, SUITE 201
SMYRNA, GA 30082
Cobb County (770) 792-5275
WELLSTAR MEDICAL GROUP, LLC
Clinic/Center (Urgent Care)
4480 N COOPER LAKE RD SE, SUITE 100
SMYRNA, GA 30082
Cobb County (770) 333-1300
SURABHI ARJUNAN MD
Internal Medicine
4480 N COOPER LAKE RD SE, SUITE 201
SMYRNA, GA 30082
Cobb County (770) 333-2035

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 1538467303. It was assigned to this organization in the NPPES registry on March 3, 2011. The provider is doing business as Wellstar Allergy & Asthma.

Where is Wellstar Medical Group, LLC located?

Wellstar Medical Group, LLC is located at 4480 N Cooper Lake Rd SE Ste. 101, Smyrna, GA 30082. The listed phone number is (770) 333-2027.

What is Wellstar Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

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

Yes. A Certificate of Waiver (number 11D2103335) is associated with this NPI, valid through October 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wellstar Medical Group, LLC was last updated on November 19, 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.