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WELLSTAR URGENT CARE AT COOPER LAKE
NPI 1669767364
Clinic/Center - Urgent Care in Smyrna, GA

Active since June 10, 2011CLIA 11D1062908 · Certificate of Compliance
4480 N COOPER LAKE RD SE, SUITE 100, SMYRNA, GA 30082(770) 333-1300(770) 432-8312 Get Directions Write a Review

NPPES record last updated: June 10, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wellstar Urgent Care At Cooper Lake NPPES

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

WELLSTAR URGENT CARE AT COOPER LAKE (NPI 1669767364) is a healthcare organization registered as an urgent care in Smyrna, Georgia and active in the NPI registry since June 2011. The organization holds a CLIA Certificate of Compliance certificate valid through June 12, 2027 and lists Nicole Ashe, Executive Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1669767364
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameWELLSTAR MEDICAL GROUP, LLC
Location Address4480 N COOPER LAKE RD SE, SUITE 100Smyrna, GA 30082-4622
Mailing Address4480 N Cooper Lake Rd Se, Suite 100Smyrna, GA 30082-4622 · (770) 333-1300 · Fax (770) 432-8312
Phone(770) 333-1300
Fax(770) 432-8312
Organization SubpartYes
Authorized OfficialNicole AsheExecutive Director Of Finance · (770) 792-5261
Enumeration DateJune 10, 2011
✔ NPI 1669767364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
4480 N COOPER LAKE RD SE, Smyrna, GA 30082
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Other Names 1

Doing Business AsWellstar Urgent Care At Cooper Lake

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Mending Health.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 Compliance 11D1062908

Wellstar Urgent Care Of Cooper Lake · Smyrna, GA
Active · expires Jun 12, 2027
CLIA Number11D1062908
Laboratory TypePhysician Office
Certificate Effective DateJune 13, 2025
Certificate Expiration DateJune 12, 2027
Laboratory DirectorManeesha Sabharwal
Laboratory Phone(770) 333-1300
Laboratory LocationWellstar Urgent Care Of Cooper Lake4480 North Cooper Lake SE Suite 100, Smyrna, GA 30082
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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.

WELLSTAR MEDICAL GROUP, LLC
Internal Medicine (Rheumatology)
4480 N COOPER LAKE RD SE, SUITE 201
SMYRNA, GA 30082
Cobb County (770) 333-2035
MICHAEL D SIMPSON M.D.
Internal Medicine
4480 N COOPER LAKE RD SE
SMYRNA, GA 30082
Cobb County (770) 333-1300
MR. SPENCER ALEXANDER PATRICK DDS
Dentist (General Practice)
4480 N COOPER LAKE RD SE, SUITE 210
SMYRNA, GA 30082
Cobb County (770) 863-0005
DR. JAMES K SMITH MD
Internal Medicine (Rheumatology)
4480 N COOPER LAKE RD SE
SMYRNA, GA 30082
Cobb County (470) 644-0122
WELLSTAR RHEUMATOLOGY, LLC
Internal Medicine (Rheumatology)
4480 N COOPER LAKE RD SE, SUITE 201
SMYRNA, GA 30082
Cobb County (770) 792-5275
WELLSTAR MEDICAL GROUP, LLC
Allergy & Immunology
4480 N COOPER LAKE RD SE, STE. 101
SMYRNA, GA 30082
Cobb County (770) 333-2027
SURABHI ARJUNAN MD
Internal Medicine
4480 N COOPER LAKE RD SE, SUITE 201
SMYRNA, GA 30082
Cobb County (770) 333-2035

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 1669767364. It was assigned to this organization in the NPPES registry on June 10, 2011. The provider is doing business as Wellstar Urgent Care At Cooper Lake.

Where is Wellstar Medical Group, LLC located?

Wellstar Medical Group, LLC is located at 4480 N Cooper Lake Rd SE Suite 100, Smyrna, GA 30082. The listed phone number is (770) 333-1300.

What is Wellstar Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

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

Yes. A Certificate of Compliance (number 11D1062908) is associated with this NPI, valid through June 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Wellstar Medical Group, LLC accept?

Health plans from Mending Health 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 June 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.