WELLSTAR GYNECOLOGIC ONCOLOGY
NPI 1669815817
Obstetrics & Gynecology - Gynecologic Oncology in Austell, GA
NPI Status: Active since April 08, 2013
Contact Information
1700 HOSPITAL SOUTH DR
SUITE 102
AUSTELL, GA
ZIP 30106
Phone: (770) 792-6262
Fax: (678) 398-1929
- Organization
- Obstetrics & Gynecology
- Gynecologic Oncology
- CLIA Number: 11D2312892
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-20-2026
About WELLSTAR GYNECOLOGIC ONCOLOGY
This page provides the complete NPI Profile along with additional information for Wellstar Gynecologic Oncology, a women's health care provider established in Austell, Georgia operating as a Obstetrics & Gynecology, focusing in gynecologic oncology . The healthcare provider is registered in the NPI registry with number 1669815817 assigned on April 2013. The practitioner's primary taxonomy code is 207VX0201X. The provider is registered as an organization and their NPI record was last updated 13 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 Gynecologic Oncology. The authorized official of this NPI record is Mrs. Nicole Ashe (Executive Director Of Finance)
- NPI
- 1669815817
- Provider Legal Name
- WELLSTAR MEDICAL GROUP, LLC
- Other Organization Name
- WELLSTAR GYNECOLOGIC ONCOLOGY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1700 HOSPITAL SOUTH DR SUITE 102 AUSTELL, GA 30106
- Location Phone
- (770) 792-6262
- Location Fax
- (678) 398-1929
- Mailing Address
- 1700 HOSPITAL SOUTH DR SUITE 102 AUSTELL, GA 30106
- Mailing Phone
- (770) 792-6262
- Mailing Fax
- (678) 398-1929
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 04-08-2013
- Last Update Date
- 11-19-2013
- Code Navigator
Women's health care providers like Wellstar Gynecologic Oncology treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, 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
Obstetrics & Gynecology Gynecologic Oncology
- Taxonomy Code
- 207VX0201X
- Type
- Allopathic & Osteopathic Physicians
- License State
- GA
- Taxonomy Description
- An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
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.
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
- 11D2312892
- Facility Type
- Physician Office
- Certificate Effective Date
- October 21, 2024
- Certificate Expiration Date
- October 20, 2026
- Laboratory Director
- TYLER WOODARD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Wellstar Gynecologic Oncology to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 1669815817, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 63 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
AUSTELL, GA 30106
AUSTELL, GA 30106
AUSTELL, GA 30106
AUSTELL, GA 30106
AUSTELL, GA 30106
AUSTELL, GA 30106
AUSTELL, GA 30106
AUSTELL, GA 30106
AUSTELL, GA 30106
AUSTELL, GA 30106
AUSTELL, GA 30106
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1669815817, enumerated as an "organization" on April 08, 2013.
The provider is located at 1700 HOSPITAL SOUTH DR SUITE 102 AUSTELL, GA 30106 and the phone number is (770) 792-6262.
Obstetrics & Gynecology with taxonomy code 207VX0201X and a focus in Gynecologic Oncology.
