WELLSTAR FAMILY MEDICINE (GOVERNORS)
NPI 1689077562
Family Medicine in Acworth, GA
NPI Status: Active since October 06, 2014
Contact Information
4900 IVEY RD NW
SUITE 1301
ACWORTH, GA
ZIP 30101
Phone: (770) 975-9077
Fax: (770) 790-4964
- Organization
- Family Medicine
- CLIA Number: 11D2311031
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 09-15-2026
About WELLSTAR FAMILY MEDICINE (GOVERNORS)
This page provides the complete NPI Profile along with additional information for Wellstar Family Medicine (governors), a primary care provider established in Acworth, Georgia operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1689077562 assigned on October 2014. 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 (governors). The authorized official of this NPI record is Mrs. Nicole Ashe (Executive Director Of Finance)
- NPI
- 1689077562
- Provider Legal Name
- WELLSTAR MEDICAL GROUP, LLC
- Other Organization Name
- WELLSTAR FAMILY MEDICINE (GOVERNORS)
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 4900 IVEY RD NW SUITE 1301 ACWORTH, GA 30101
- Location Phone
- (770) 975-9077
- Location Fax
- (770) 790-4964
- Mailing Address
- 4900 IVEY RD NW SUITE 1301 ACWORTH, GA 30101
- Mailing Phone
- (770) 975-9077
- Mailing Fax
- (770) 790-4964
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 10-06-2014
- Last Update Date
- 05-28-2015
- Code Navigator
A primary care provider (PCP) like Wellstar Family Medicine (governors) 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.
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
- 11D2311031
- Facility Type
- Physician Office
- Certificate Effective Date
- September 16, 2024
- Certificate Expiration Date
- September 15, 2026
- Laboratory Director
- FRACHESKA ALCIDE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Wellstar Family Medicine (governors) 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.
Reviews for WELLSTAR FAMILY MEDICINE (GOVERNORS)
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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 1689077562, we treat the final digit (2) 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 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).
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 68 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 14 providers are registered at the same or a nearby location.
ACWORTH, GA 30101
ACWORTH, GA 30101
ACWORTH, GA 30101
ACWORTH, GA 30101
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1689077562, enumerated as an "organization" on October 06, 2014.
The provider is located at 4900 IVEY RD NW SUITE 1301 ACWORTH, GA 30101 and the phone number is (770) 975-9077.
Family Medicine with taxonomy code 207Q00000X.
