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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: July 26, 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

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.

PATRICIA PHILLIPS SLP
Speech-Language Pathologist
5150 STILESBORO RD NW, SUITE 430
KENNESAW, GA 30152
Cobb County (770) 218-2300
BALANCED BODY WELLNESS CENTRE, LLC
Preferred Provider Organization
5150 STILESBORO RD NW, SUITE 420
KENNESAW, GA 30152
Cobb County (770) 425-6068
ELIZABETH POULSEN
Occupational Therapist
5150 STILESBORO RD NW, SUITE 430
KENNESAW, GA 30152
Cobb County (770) 218-2300
MR. MARK G STEVENS PT
Physical Therapist
5150 STILESBORO RD NW
KENNESAW, GA 30152
Cobb County (678) 354-6171
WELLSTAR MEDICAL GROUP, LLC
Pediatrics
5150 STILESBORO RD NW, SUITE 220
KENNESAW, GA 30152
Cobb County (770) 424-8222
ACWORTH FAMILY MEDICINE, PC
Clinic/Center (Primary Care)
5150 STILESBORO RD NW, SUITE 120
KENNESAW, GA 30152
Cobb County (678) 354-0230
JANNA HYDE
Occupational Therapist
5150 STILESBORO RD NW, SUITE 430
KENNESAW, GA 30152
Cobb County (770) 218-2300
DR. MANDY PHILLIPS RUDDELL
Counselor (Professional)
5150 STILESBORO RD NW, SUITE 100
KENNESAW, GA 30152
Cobb County (404) 680-3032

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.

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 with the weekly NPPES data releases published by CMS.