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WELLSTAR EAST PAULDING PEDIATRIC CENTER
NPI 1558667691
Pediatrics in Hiram, GA

Active since February 08, 2011CLIA 11D0957025 · Waiver
51 HIRAM DR, BUILDING B, HIRAM, GA 30141(678) 945-8300(770) 445-2060 Get Directions Write a Review

NPPES record last updated: November 19, 2013. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Wellstar East Paulding Pediatric Center NPPES

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

WELLSTAR EAST PAULDING PEDIATRIC CENTER (NPI 1558667691) is a healthcare organization registered as a pediatrics in Hiram, Georgia and active in the NPI registry since February 2011. The organization holds a CLIA Waiver certificate valid through October 26, 2028 and lists Nicole Ashe, Executive Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1558667691
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameWELLSTAR MEDICAL GROUP, LLC
Location Address51 HIRAM DR, BUILDING BHiram, GA 30141-1844
Mailing Address51 Hiram Dr, Building BHiram, GA 30141-1844 · (678) 945-8300 · Fax (770) 445-2060
Phone(678) 945-8300
Fax(770) 445-2060
Organization SubpartYes
Authorized OfficialNicole AsheExecutive Director Of Finance · (470) 644-0095
Enumeration DateFebruary 8, 2011
Last NPPES UpdateNovember 19, 2013
✔ NPI 1558667691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
51 HIRAM DR, Hiram, GA 30141
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Other Names 1

Doing Business AsWellstar East Paulding Pediatric Center

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 East Paulding Pediatric Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3,852

Medicare enrollment records show 3,852 clinicians reassign Medicare billing to Wellstar East Paulding Pediatric Center, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 113 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 specialties1,759

Nearest to this location (20)

See all 3,852
Ami Dalsania, D.O.
Pediatric Medicine
NPI 1689092181
51 HIRAM DR BLDG B
Hiram, GA 30141
(678) 945-8300
✔ PECOSSame address
Joanna Dolgoff, M.D.
Pediatric Medicine
NPI 1720065436
51 HIRAM DR BLDG B
Hiram, GA 30141
(678) 945-8300
✔ PECOSSame address
Kathleen Empen, M.D.
Pediatric Medicine
NPI 1841249778
51 HIRAM DR BLDG B
Hiram, GA 30141
(678) 945-8300
✔ PECOSSame address
Christian Ryser, DO
Psychiatry
NPI 1376048363
51 HIRAM DR BLDG B
Hiram, GA 30141
(470) 267-1740
✔ PECOSSame address
Sara Temple, APRN
Nurse Practitioner
NPI 1043665243
51 HIRAM DR
Hiram, GA 30141
(678) 945-8300
✔ PECOSSame address
Nicole Mchargue, MS, RN, CPNP
Nurse Practitioner
NPI 1386926319
51 HIRAM DR
Hiram, GA 30141
(678) 945-8300
✔ PECOSSame address
Aubree Tant, FNP-C
Nurse Practitioner
NPI 1053841288
176 CHARLES HARDY PKWY UNIT C
Hiram, GA 30141
(678) 945-8200
✔ PECOS✔ Accepts Medicare0.1 mi
Afua Akhi-Gbade, M.D.
Family Practice
NPI 1811343114
176 CHARLES HARDY PKWY
Hiram, GA 30141
(678) 945-8200
✔ PECOS✔ Accepts Medicare0.2 mi
David Gose, MD
Internal Medicine
NPI 1528040748
176 CHARLES HARDY PKWY UNIT C
Hiram, GA 30141
(678) 945-8200
✔ PECOS✔ Accepts Medicare0.2 mi
Vaibhav Amin, M.D.
Cardiovascular Disease (Cardiology)
NPI 1679830988
144 BILL CARRUTH PKWY STE 4200
Hiram, GA 30141
(678) 324-4444
✔ PECOS✔ Accepts Medicare0.4 mi
Sameer Arora, MBBS
Interventional Cardiology
NPI 1851688410
144 BILL CARRUTH PKWY STE 4200
Hiram, GA 30141
(678) 324-4444
✔ PECOS✔ Accepts Medicare0.4 mi
William Forehand, M.D.
Hematology/Oncology
NPI 1235513607
144 BILL CARRUTH PKWY STE 3100
Hiram, GA 30141
(678) 363-1940
✔ PECOS✔ Accepts Medicare0.4 mi
Minesh Nandi, MD
Medical Oncology
NPI 1306376421
144 BILL CARRUTH PKWY STE 3100
Hiram, GA 30141
(678) 363-1940
✔ PECOS✔ Accepts Medicare0.4 mi
Brett Tomashitis, MD
Cardiac Electrophysiology
NPI 1073042883
144 BILL CARRUTH PKWY STE 4200
Hiram, GA 30141
(678) 324-4444
✔ PECOS✔ Accepts Medicare0.4 mi
Sanath Allampati, M.D.
Hospitalist
NPI 1134333537
2518 JIMMY LEE SMITH PKWY
Hiram, GA 30141
(470) 644-8027
✔ PECOS✔ Accepts Medicare0.4 mi
Nilay Patel, MD
Orthopedic Surgery
NPI 1356738108
2518 JIMMY LEE SMITH PKWY
Hiram, GA 30141
(404) 321-9900
✔ PECOS✔ Accepts Medicare0.4 mi
Weihua Tang, M.D.
Pathology
NPI 1457799405
2518 JIMMY LEE SMITH PKWY
Hiram, GA 30141
(470) 644-7055
✔ PECOS✔ Accepts Medicare0.4 mi
Brandon Washington, MD
Hospice/Palliative Care
NPI 1265925820
2518 JIMMY LEE SMITH PKWY
Hiram, GA 30141
(770) 793-7899
✔ PECOS✔ Accepts Medicare0.4 mi
Vanchad Memark, M.D.
General Surgery
NPI 1013196492
148 BILL CARRUTH PKWY SUITE 180
Hiram, GA 30141
(770) 445-4915
✔ PECOS✔ Accepts Medicare0.4 mi
Adam Ferro, MD
Radiation Oncology
NPI 1164841888
148 BILL CARRUTH PKWY STE LL30
Hiram, GA 30141
(770) 505-3855
✔ PECOS✔ Accepts Medicare0.4 mi
See all 3,852 clinicians

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

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 11D0957025

Wellstar East Paulding Pediatric Center · Hiram, GA
Active · expires Oct 26, 2028
CLIA Number11D0957025
Laboratory TypePhysician Office
Certificate Effective DateOctober 27, 2026
Certificate Expiration DateOctober 26, 2028
Laboratory DirectorAmy Murray
Laboratory Phone(678) 945-8300
Laboratory LocationWellstar East Paulding Pediatric Center51 Hiram Drive Building B, Hiram, GA 30141
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 1558667691. It was assigned to this organization in the NPPES registry on February 8, 2011. The provider is doing business as Wellstar East Paulding Pediatric Center.

Where is Wellstar Medical Group, LLC located?

Wellstar Medical Group, LLC is located at 51 Hiram Dr Building B, Hiram, GA 30141. The listed phone number is (678) 945-8300.

What is Wellstar Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

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), 3,852 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, 6 practice at this address and 113 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

Yes. A Certificate of Waiver (number 11D0957025) is associated with this NPI, valid through October 26, 2028. 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.