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WELLSTAR NEUROPSYCHOLOGY
NPI 1689967697
Psychiatry & Neurology - Clinical Neurophysiology in Marietta, GA

Active since May 24, 2011
677 CHURCH ST NE, MARIETTA, GA 30060(770) 793-6695(770) 793-7997 Get Directions Write a Review

NPPES record last updated: November 18, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wellstar Neuropsychology NPPES

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

WELLSTAR NEUROPSYCHOLOGY (NPI 1689967697) is a healthcare organization registered as a clinical neurophysiology in Marietta, Georgia and active in the NPI registry since May 2011. The organization lists Nicole Ashe, Executive Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1689967697
Entity TypeOrganization
Primary Taxonomy2084N0600X
Legal Business NameWELLSTAR MEDICAL GROUP, LLC
Location Address677 CHURCH ST NEMarietta, GA 30060-1101
Mailing Address677 Church St NeMarietta, GA 30060-1101 · (770) 793-6695 · Fax (770) 793-7997
Phone(770) 793-6695
Fax(770) 793-7997
Organization SubpartYes
Authorized OfficialNicole AsheExecutive Director Of Finance · (470) 644-0095
Enumeration DateMay 24, 2011
Last NPPES UpdateNovember 18, 2013
✔ NPI 1689967697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Clinical NeurophysiologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0600X
Definition
Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).
677 CHURCH ST NE, Marietta, GA 30060
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Other Names 1

Doing Business AsWellstar Neuropsychology

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

Other Providers at the Same Location NPPES 20

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

JILLIAN MARIE BLALOCK DO
Emergency Medicine
677 CHURCH ST NE
MARIETTA, GA 30060
Cobb County (770) 793-5000
JAMIN GRAHAM MD
Student in an Organized Health Care Education/Training Program
677 CHURCH ST NE
MARIETTA, GA 30060
Cobb County (770) 793-5000
SAUMYA GURBANI MD, PHD
Student in an Organized Health Care Education/Training Program
677 CHURCH ST NE, ATTN: GME
MARIETTA, GA 30060
Cobb County (770) 793-7742
JULIA PATRICIA KENDRICK
Registered Nurse
677 CHURCH ST NE
MARIETTA, GA 30060
Cobb County (770) 793-5000
DR. HALEY PUCKETT LAWHORN MD
Student in an Organized Health Care Education/Training Program
677 CHURCH ST NE
MARIETTA, GA 30060
Cobb County (770) 793-5000
MRS. RHONDA KIM LEE NP-C
Registered Nurse (Wound Care)
677 CHURCH ST NE
MARIETTA, GA 30060
Cobb County (770) 793-7173
DEVIN HORTON CRNA
Nurse Anesthetist, Certified Registered
677 CHURCH ST NE
MARIETTA, GA 30060
Cobb County (770) 794-0477
BRITNEY ELIZABETH BECKETT
Student in an Organized Health Care Education/Training Program
677 CHURCH ST NE
MARIETTA, GA 30060
Cobb County (770) 793-5000

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 1689967697. It was assigned to this organization in the NPPES registry on May 24, 2011. The provider is doing business as Wellstar Neuropsychology.

Where is Wellstar Medical Group, LLC located?

Wellstar Medical Group, LLC is located at 677 Church St NE, Marietta, GA 30060. The listed phone number is (770) 793-6695.

What is Wellstar Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Clinical Neurophysiology, with taxonomy code 2084N0600X.

When was this NPI record last updated?

The NPPES record for Wellstar Medical Group, LLC was last updated on November 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.