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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: August 16, 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, 2026 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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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, 2026
CLIA Number11D0957025
Laboratory TypePhysician Office
Certificate Effective DateOctober 27, 2024
Certificate Expiration DateOctober 26, 2026
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.

Other Providers at the Same Location NPPES 7

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

MRS. SARA HUNLOCK TEMPLE APRN
Nurse Practitioner (Pediatrics)
51 HIRAM DR
HIRAM, GA 30141
Paulding County (678) 945-8300
DR. ANDREA JANEL THAMES-ALLEN MD
Pediatrics
51 HIRAM DR, BLDG B
HIRAM, GA 30141
Paulding County (678) 945-8300
MRS. NICOLE MARIE MCHARGUE MS, RN, CPNP
Nurse Practitioner (Pediatrics)
51 HIRAM DR
HIRAM, GA 30141
Paulding County (678) 945-8300
WELLSTAR MEDICAL GROUP EAST PAULDING PEDIATRICS
Specialist
51 HIRAM DR
HIRAM, GA 30141
Paulding County (678) 945-8300
MRS. NICOLE B SPITALNICK CPNP
Nurse Practitioner (Pediatrics)
51 HIRAM DR, BUILDING B
HIRAM, GA 30141
Paulding County (678) 945-8300
WELLSTAR EAST PAULDING PEDIATRIC CENTER, LLC
Pediatrics
51 HIRAM DR, BUILDING B
HIRAM, GA 30141
Paulding County (678) 945-8300
DR. LAURA VERIGAN MD
Pediatrics
51 HIRAM DR, BLDG B
HIRAM, GA 30141
Paulding County (678) 945-8300

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.

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, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Wellstar Medical Group, LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Wellstar Medical Group, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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.