WELLSTAR FAMILY MEDICINE (CARTERSVILLE)
NPI 1588059653
Family Medicine in Cartersville, GA

NPI Status: Active since April 05, 2015

Contact Information

12 MEDICAL DR NE
CARTERSVILLE, GA
ZIP 30121
Phone: (770) 386-1000
Fax: (770) 386-9165

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  • Organization
  • Family Medicine
  • CLIA Number: 11D0944326
  • CLIA Cert. Type: Other - HOSPITAL OUTPATIENT DEPT
  • CLIA Exp. Date: 08-10-2027

About WELLSTAR FAMILY MEDICINE (CARTERSVILLE)

This page provides the complete NPI Profile along with additional information for Wellstar Family Medicine (cartersville), a primary care provider established in Cartersville, Georgia operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1588059653 assigned on April 2015. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Wellstar Family Medicine (cartersville). The authorized official of this NPI record is Mrs. Nicole Ashe (Executive Director Of Finance)

NPI
1588059653
Provider Legal Name
WELLSTAR MEDICAL GROUP, LLC
Other Organization Name
WELLSTAR FAMILY MEDICINE (CARTERSVILLE)
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
12 MEDICAL DR NE CARTERSVILLE, GA 30121
Location Phone
(770) 386-1000
Location Fax
(770) 386-9165
Mailing Address
12 MEDICAL DR NE CARTERSVILLE, GA 30121
Mailing Phone
(770) 386-1000
Mailing Fax
(770) 386-9165
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-05-2015
Last Update Date
04-05-2015
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A primary care provider (PCP) like Wellstar Family Medicine (cartersville) sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License State
GA
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. NICOLE ASHE

Authorized Official Title
EXECUTIVE DIRECTOR OF FINANCE
Authorized Official Phone
(470) 644-0095

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
11D0944326
Facility Type
Other - HOSPITAL OUTPATIENT DEPT
Certificate Effective Date
August 11, 2025
Certificate Expiration Date
August 10, 2027
Laboratory Director
DR. MICHELLE OJEMUYIWA
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Wellstar Family Medicine (cartersville) on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1588059653, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
8
Unchanged
Pos 5
0
Doubled → 0
Pos 6
5
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
6
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 0 → 0 9 → 18 → 9 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 1 + 6 + 8 + 0 + 5 + 1 + 8 + 6 + 1 + 0 + 24 = 67

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1588059653.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Family Medicine
12 MEDICAL DR NE
CARTERSVILLE, GA 30121
Internal Medicine
12 MEDICAL DR NE
CARTERSVILLE, GA 30121
Family Medicine
12 MEDICAL DR NE
CARTERSVILLE, GA 30121
Family Medicine
12 MEDICAL DR NE
CARTERSVILLE, GA 30121
Internal Medicine
12 MEDICAL DR NE
CARTERSVILLE, GA 30121
Nurse Practitioner (Family)
12 MEDICAL DR NE
CARTERSVILLE, GA 30121
Physician Assistant
12 MEDICAL DR NE
CARTERSVILLE, GA 30121

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1588059653, enumerated as an "organization" on April 05, 2015.

The provider is located at 12 MEDICAL DR NE CARTERSVILLE, GA 30121 and the phone number is (770) 386-1000.

Family Medicine with taxonomy code 207Q00000X.