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WELLSTAR KENNESTONE OB/GYN, LLC
NPI 1548216203
Obstetrics & Gynecology in Woodstock, GA

Active since May 25, 2006CLIA 11D0954896 · Microscopy
2230 TOWNE LAKE PKWY, BUILDING 500, SUITE 100, WOODSTOCK, GA 30189(678) 445-5941(678) 445-5950 Get Directions Write a Review

NPPES record last updated: July 14, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Wellstar Kennestone Ob/gyn, Llc NPPES

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

WELLSTAR KENNESTONE OB/GYN, LLC (NPI 1548216203) is a healthcare organization registered as an obstetrics & gynecology in Woodstock, Georgia and active in the NPI registry since May 2006. The organization holds a CLIA Microscopy certificate valid through July 20, 2027 and lists Nicole Ashe, Executive Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1548216203
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameWELLSTAR KENNESTONE OB/GYN, LLC
Location Address2230 TOWNE LAKE PKWY, BUILDING 500, SUITE 100Woodstock, GA 30189-5540
Mailing Address2230 Towne Lake Pkwy, Building 500, Suite 100Woodstock, GA 30189-5540 · (678) 445-5941 · Fax (678) 445-5950
Phone(678) 445-5941
Fax(678) 445-5950
Organization SubpartYesParent: Wellstar Health System, Inc.
Authorized OfficialNicole AsheExecutive Director Of Finance · (770) 792-5261
Enumeration DateMay 25, 2006
Last NPPES UpdateJuly 14, 2008
✔ NPI 1548216203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

2230 TOWNE LAKE PKWY, Woodstock, GA 30189
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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 for Provider-Performed Microscopy Procedures (PPMP) 11D0954896

Wellstar Kennestone Ob/Gyn · Holly Springs, GA
Active · expires Jul 20, 2027
CLIA Number11D0954896
Laboratory TypePhysician Office
Certificate Effective DateJuly 21, 2025
Certificate Expiration DateJuly 20, 2027
Laboratory DirectorMargaret Keeling
Laboratory Phone(678) 445-5941
Laboratory LocationWellstar Kennestone Ob/Gyn1120 Wellstar Way Suite 304, 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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROMUALDA S KLICIUS MD
Pediatrics
2230 TOWNE LAKE PKWY, BUILDING 300, SUITE 100
WOODSTOCK, GA 30189
Cherokee County (770) 517-1900
INDEPENDENT PHYSICAL THERAPY OF GEORGIA, LLC
Clinic/Center (Physical Therapy)
2230 TOWNE LAKE PKWY, BUILDING 1200, SUITES 100 & 110
WOODSTOCK, GA 30189
Cherokee County (770) 926-2744
GARY MICHAEL MILLER MD
Psychiatry & Neurology (Neurology)
2230 TOWNE LAKE PKWY, BLDG 200 STE 110
WOODSTOCK, GA 30189
Cherokee County (770) 591-9190
WALTER FRANK PORTER III MPT
Physical Therapist
2230 TOWNE LAKE PKWY, BUILDING 1200, SUITES 100 & 110
WOODSTOCK, GA 30189
Cherokee County (770) 926-2744
WELLSTAR TOWNE LAKE PEDIATRICS, LLC
Pediatrics
2230 TOWNE LAKE PKWY, BUILDING 300, SUITE 100
WOODSTOCK, GA 30189
Cherokee County (770) 517-1900
LEAH ANN BULOW MSPT
Physical Therapist
2230 TOWNE LAKE PKWY, BLDG. 1200, SUITES 100 & 110
WOODSTOCK, GA 30189
Cherokee County (770) 926-2744
MYRA ANN MATUSZEK PT
Physical Therapist
2230 TOWNE LAKE PKWY, BLDG. 1200, SUITES 100 &110
WOODSTOCK, GA 30189
Cherokee County (770) 926-2744
NORTHWEST GEORGIA ONCOLOGY CENTERS
Durable Medical Equipment & Medical Supplies
2230 TOWNE LAKE PKWY, BLDG 1100 STE 140
WOODSTOCK, GA 30189
Cherokee County (678) 445-2200

Frequently Asked Questions

What is WELLSTAR KENNESTONE OB/GYN, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1548216203, enumerated as an "organization" on May 25, 2006.

Where is the provider located?

The provider is located at 2230 TOWNE LAKE PKWY BUILDING 500, SUITE 100 WOODSTOCK, GA 30189 and the phone number is (678) 445-5941.

What is the provider's specialty?

Obstetrics & Gynecology with taxonomy code 207V00000X.