WELLSTAR INTERNAL MEDICINE (COUSINS)
NPI 1548566508
Internal Medicine in Marietta, GA

Active since February 08, 2011
166 VANN ST NE, MARIETTA, GA 30060(770) 422-7377(770) 421-1304 Get Directions Write a Review

NPPES record last updated: November 19, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Wellstar Internal Medicine (cousins) NPPES

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

WELLSTAR INTERNAL MEDICINE (COUSINS) (NPI 1548566508) is a healthcare organization registered as an internal medicine in Marietta, Georgia and active in the NPI registry since February 2011. The organization lists Nicole Ashe, Executive Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1548566508
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameWELLSTAR MEDICAL GROUP, LLC
Location Address166 VANN ST NEMarietta, GA 30060-7250
Mailing Address166 Vann St NeMarietta, GA 30060-7250 · (770) 422-7377 · Fax (770) 421-1304
Fax(770) 421-1304
Organization SubpartYes
Authorized OfficialNicole AsheExecutive Director Of Finance · (470) 644-0095
Enumeration DateFebruary 8, 2011
Last NPPES UpdateNovember 19, 2013
✔ NPI 1548566508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
166 VANN ST NE, Marietta, GA 30060

Other Names 1

Doing Business AsWellstar Internal Medicine (cousins)

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 Internal Medicine (cousins) is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3,854

Medicare enrollment records show 3,854 clinicians reassign Medicare billing to Wellstar Internal Medicine (cousins), which bills Medicare for the services they deliver. Of these, 1 practice at this address and 1,133 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 specialties1,761

Nearest to this location (20)

See all 3,854
Internal Medicine
NPI 1043270788
166 VANN ST NE
Marietta, GA 30060
(770) 422-7377
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1831576867
800 CANTON RD NE
Marietta, GA 30060
(770) 424-4328
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1265755565
780 CANTON RD NE STE 400
Marietta, GA 30060
(770) 411-3602
✔ PECOS✔ Accepts Medicare0.1 mi
Colorectal Surgery (Proctology)
NPI 1174622518
780 CANTON RD NE STE 250
Marietta, GA 30060
(943) 202-8090
✔ PECOS✔ Accepts Medicare0.1 mi
Gastroenterology
NPI 1235662073
780 CANTON RD NE
Marietta, GA 30060
(470) 267-1760
✔ PECOS✔ Accepts Medicare0.1 mi
Neurology
NPI 1235626060
780 CANTON RD NE STE 400
Marietta, GA 30060
(770) 422-3602
✔ PECOS✔ Accepts Medicare0.1 mi
Obstetrics/Gynecology
NPI 1467443408
818 CHURCH ST NE
Marietta, GA 30060
(770) 793-9750
✔ PECOS0.1 mi
Sports Medicine
NPI 1891324414
790 CHURCH ST NE STE 250
Marietta, GA 30060
(943) 202-7710
✔ PECOS✔ Accepts Medicare0.1 mi
Family Practice
NPI 1871242438
780 CHURCH ST NE STE 1105
Marietta, GA 30060
(770) 427-4682
✔ PECOS✔ Accepts Medicare0.1 mi
Rheumatology
NPI 1710114517
700 CHURCH ST NE
Marietta, GA 30060
(770) 420-1690
✔ PECOS✔ Accepts Medicare0.2 mi
Neurosurgery
NPI 1467477463
718 CHEROKEE ST NE
Marietta, GA 30060
(770) 291-8987
✔ PECOS✔ Accepts Medicare0.2 mi
Certified Nurse Midwife (CNM)
NPI 1104591593
699 CHURCH ST NE STE 500
Marietta, GA 30060
(770) 793-9750
✔ PECOS0.2 mi
Internal Medicine
NPI 1649910894
833 CAMPBELL HILL ST NW STE 250
Marietta, GA 30060
(470) 956-2020
✔ PECOS✔ Accepts Medicare0.2 mi
Otolaryngology
NPI 1417103557
699 CHURCH ST STE 340
Marietta, GA 30060
(678) 355-1620
✔ PECOS✔ Accepts Medicare0.2 mi
Gynecological Oncology
NPI 1659575256
699 CHURCH ST NE STE 235
Marietta, GA 30060
(770) 792-6262
✔ PECOS✔ Accepts Medicare0.2 mi
Qualified Audiologist
NPI 1053723106
699 CHURCH ST NE STE 340
Marietta, GA 30060
(678) 355-7620
✔ Accepts Medicare0.2 mi
Psychologist Billing Independently
NPI 1700611464
833 CAMPBELL HILL ST NW
Marietta, GA 30060
(770) 528-0260
✔ Accepts Medicare0.3 mi
Orthopedic Surgery
NPI 1235691882
677 CHURCH ST NE
Marietta, GA 30060
(330) 414-9471
✔ PECOS✔ Accepts Medicare0.3 mi
Anesthesiology Assistant
NPI 1730235904
677 CHURCH ST NE
Marietta, GA 30060
(770) 794-0477
0.3 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1073405163
677 CHURCH ST NE
Marietta, GA 30060
(770) 793-5000
0.3 mi
See all 3,854 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 1548566508. It was assigned to this organization in the NPPES registry on February 8, 2011. The provider is doing business as Wellstar Internal Medicine (cousins).

Where is Wellstar Medical Group, LLC located?

Wellstar Medical Group, LLC is located at 166 Vann St NE, Marietta, GA 30060. The listed phone number is (770) 422-7377.

What is Wellstar Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

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), 3,854 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, 1 practice at this address and 1,133 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.