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WELLSTAR ENDOCRINOLOGY
NPI 1669752911
Internal Medicine - Endocrinology, Diabetes & Metabolism in Marietta, GA

Active since August 18, 2011CLIA 11D2056143 · Waiver
3747 ROSWELL RD NE, SUITE 212, MARIETTA, GA 30062(678) 403-4300(770) 999-2166 Get Directions Write a Review

NPPES record last updated: June 8, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wellstar Endocrinology NPPES

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

WELLSTAR ENDOCRINOLOGY (NPI 1669752911) is a healthcare organization registered as an endocrinology, diabetes & metabolism in Marietta, Georgia and active in the NPI registry since August 2011. The organization holds a CLIA Waiver certificate valid through March 21, 2027 and lists Nicole Ashe, Executive Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1669752911
Entity TypeOrganization
Primary Taxonomy207RE0101X
Legal Business NameWELLSTAR MEDICAL GROUP, LLC
Location Address3747 ROSWELL RD NE, SUITE 212Marietta, GA 30062-6215
Mailing Address3747 Roswell Rd Ne, Suite 212Marietta, GA 30062-6215 · (678) 403-4300 · Fax (770) 999-2166
Phone(678) 403-4300
Fax(770) 999-2166
Organization SubpartYes
Authorized OfficialNicole AsheExecutive Director Of Finance · (470) 644-0095
Enumeration DateAugust 18, 2011
Last NPPES UpdateJune 8, 2015
✔ NPI 1669752911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
3747 ROSWELL RD NE, Marietta, GA 30062
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Other Names 1

Doing Business AsWellstar Endocrinology

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

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 11D2056143

Wellstar Endocrinology · Marietta, GA
Active · expires Mar 21, 2027
CLIA Number11D2056143
Laboratory TypePhysician Office
Certificate Effective DateMarch 22, 2025
Certificate Expiration DateMarch 21, 2027
Laboratory DirectorDr. Reshma P. Shah
Laboratory Phone(678) 403-4300
Laboratory LocationWellstar Endocrinology3747 Roswell Road, NW, Suite 202, Marietta, GA 30062
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

WELLSTAR MEDICAL GROUP, LLC
Chiropractor
3747 ROSWELL RD NE, SUITE 311
MARIETTA, GA 30062
Cobb County (770) 422-2326
WELLSTAR MEDICAL GROUP, LLC
Family Medicine
3747 ROSWELL RD NE, SUITE 216
MARIETTA, GA 30062
Cobb County (770) 973-2272
WELLSTAR MEDICAL GROUP, LLC
Pediatrics
3747 ROSWELL RD NE, SUITE 201
MARIETTA, GA 30062
Cobb County (770) 578-2868
WELLSTAR MEDICAL GROUP, LLC
Anesthesiology (Pain Medicine)
3747 ROSWELL RD NE, SUITE 311
MARIETTA, GA 30062
Cobb County (770) 422-2326

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 1669752911. It was assigned to this organization in the NPPES registry on August 18, 2011. The provider is doing business as Wellstar Endocrinology.

Where is Wellstar Medical Group, LLC located?

Wellstar Medical Group, LLC is located at 3747 Roswell Rd NE Suite 212, Marietta, GA 30062. The listed phone number is (678) 403-4300.

What is Wellstar Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

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

Yes. A Certificate of Waiver (number 11D2056143) is associated with this NPI, valid through March 21, 2027. 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 June 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.