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WELLSTAR FAMILY MEDICINE ACW
NPI 1558664003
Family Medicine in Kennesaw, GA

Active since December 06, 2010
5150 STILESBORO RD NW, SUITE 120, KENNESAW, GA 30152(678) 354-0230(678) 354-0828 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 Family Medicine Acw NPPES

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

WELLSTAR FAMILY MEDICINE ACW (NPI 1558664003) is a healthcare organization registered as a family medicine in Kennesaw, Georgia and active in the NPI registry since December 2010. The organization lists Nicole Ashe, Executive Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1558664003
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWELLSTAR MEDICAL GROUP, LLC
Location Address5150 STILESBORO RD NW, SUITE 120Kennesaw, GA 30152-7744
Mailing Address5150 Stilesboro Rd Nw, Suite 120Kennesaw, GA 30152-7744 · (678) 354-0230 · Fax (678) 354-0828
Phone(678) 354-0230
Fax(678) 354-0828
Organization SubpartYes
Authorized OfficialNicole AsheExecutive Director Of Finance · (470) 644-0095
Enumeration DateDecember 6, 2010
Last NPPES UpdateNovember 19, 2013
✔ NPI 1558664003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5150 STILESBORO RD NW, Kennesaw, GA 30152
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Other Names 1

Doing Business AsWellstar Family Medicine Acw

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 Family Medicine Acw 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 Family Medicine Acw, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 818 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
Saudiqa Hoossainy, M.D.
Pediatric Medicine
NPI 1558599084
5150 STILESBORO RD., SUITE 220 WELLSTAR PEDIATRICS AT BROOKSTONE
Kennesaw, GA 30152
(770) 424-8222
✔ PECOSSame address
Emma Atherton-Staples, D.O.
Family Practice
NPI 1780063339
5150 STILESBORO RD NW STE 120
Kennesaw, GA 30152
(678) 354-0230
✔ PECOS✔ Accepts Medicare0.2 mi
Daniel Kuzio, M.D.
Family Practice
NPI 1851475396
5150 STILESBORO RD NW SUITE 120
Kennesaw, GA 30152
(678) 354-0230
✔ PECOS✔ Accepts Medicare0.2 mi
Amisha Patel, MD
Pediatric Medicine
NPI 1710449400
5150 STILESBORO RD NW
Kennesaw, GA 30152
(770) 424-8222
✔ PECOS0.2 mi
Dwayne Terry, MD
Family Practice
NPI 1326628959
5150 STILESBORO RD NW STE 120
Kennesaw, GA 30152
(678) 354-0230
✔ PECOS✔ Accepts Medicare0.2 mi
Grace Laughman, FNP-C
Nurse Practitioner
NPI 1356099923
4030 STILESBORO RD NW
Kennesaw, GA 30152
(678) 986-8007
✔ PECOS✔ Accepts Medicare2.0 mi
Reden Delgado, MD
Family Practice
NPI 1881605152
4900 IVEY RD NW STE 1301
Acworth, GA 30101
(770) 975-9077
✔ PECOS✔ Accepts Medicare2.9 mi
Myrlynn Delille, M.D.
Pain Management
NPI 1932337599
4900 IVEY RD NW STE 1826
Acworth, GA 30101
(470) 267-0540
✔ PECOS✔ Accepts Medicare2.9 mi
Catherine Hudson
Obstetrics/Gynecology
NPI 1275777922
4900 IVEY RD NW STE 1320
Acworth, GA 30101
(470) 267-0870
✔ PECOS✔ Accepts Medicare2.9 mi
John Murimi, MD
Family Practice
NPI 1245319516
4900 IVEY RD NW SUITE 1301
Acworth, GA 30101
(770) 974-4655
✔ PECOS✔ Accepts Medicare2.9 mi
Teri Pruitt, NP
Nurse Practitioner
NPI 1073240206
4900 IVEY RD NW STE 1320
Acworth, GA 30101
(470) 267-0870
✔ PECOS✔ Accepts Medicare2.9 mi
Kenneth Murphy, MD
Anesthesiology
NPI 1619015971
3450 ACWORTH DUE WEST RD NW STE 200
Kennesaw, GA 30144
(770) 794-6643
✔ PECOS3.3 mi
Daniel Saade, MD
Pediatric Medicine
NPI 1881668580
3707 LARGENT WAY NW
Marietta, GA 30064
(678) 581-5729
✔ PECOS3.8 mi
Candice Darville, MD
Internal Medicine
NPI 1871835520
1550 KENNESAW DUE WEST RD NW # 100
Kennesaw, GA 30152
(943) 202-8520
✔ PECOS✔ Accepts Medicare4.3 mi
Angela Zeigler, LCSW
Clinical Social Worker
NPI 1386259562
3615 CHARLES HARDY PKWY
Dallas, GA 30157
(770) 863-7200
✔ PECOS✔ Accepts Medicare4.5 mi
Juan Armstrong, M.D.
Pulmonary Disease
NPI 1639259666
4550 COBB PARKWAY NORTH NW STE 210
Acworth, GA 30101
(770) 422-1372
✔ PECOS✔ Accepts Medicare5.0 mi
Wendy Fotopoulos, MA
Qualified Audiologist
NPI 1689796963
4550 COBB PARKWAY NORTH NW
Acworth, GA 30101
(770) 505-7190
✔ Accepts Medicare5.0 mi
Daniel Holtz, MD
Hand Surgery
NPI 1962680991
4550 COBB PARKWAY NORTH NW SUITE #309B
Acworth, GA 30101
(770) 917-6795
✔ PECOS✔ Accepts Medicare5.0 mi
Osagie Okundaye, MD
Cardiovascular Disease (Cardiology)
NPI 1629133103
4550 COBB PARKWAY NORTH NW SUITE 213
Acworth, GA 30101
(770) 974-8479
✔ PECOS✔ Accepts Medicare5.0 mi
Summar Salim, D.O.
Gastroenterology
NPI 1649627357
4550 COBB PARKWAY NORTH NW STE 210B
Acworth, GA 30101
(470) 267-1760
✔ PECOS✔ Accepts Medicare5.0 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 1558664003. It was assigned to this organization in the NPPES registry on December 6, 2010. The provider is doing business as Wellstar Family Medicine Acw.

Where is Wellstar Medical Group, LLC located?

Wellstar Medical Group, LLC is located at 5150 Stilesboro Rd NW Suite 120, Kennesaw, GA 30152. The listed phone number is (678) 354-0230.

What is Wellstar Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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 818 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.