WELLSTAR TRAUMA
NPI 1699065573
Surgery - Trauma Surgery in Marietta, GA

Active since April 13, 2011
55 WHITCHER ST NE, SUITE 130, MARIETTA, GA 30060(770) 426-1629(770) 427-8001 Get Directions Write a Review

NPPES record last updated: June 5, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Wellstar Trauma NPPES

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

WELLSTAR TRAUMA (NPI 1699065573) is a healthcare organization registered as a trauma surgery in Marietta, Georgia and active in the NPI registry since April 2011. The organization lists Nicole Ashe, Executive Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1699065573
Entity TypeOrganization
Primary Taxonomy2086S0127X
Legal Business NameWELLSTAR MEDICAL GROUP, LLC
Location Address55 WHITCHER ST NE, SUITE 130Marietta, GA 30060-1156
Mailing Address55 Whitcher St Ne, Suite 130Marietta, GA 30060-1156 · (770) 426-1629 · Fax (770) 427-8001
Fax(770) 427-8001
Organization SubpartYes
Authorized OfficialNicole AsheExecutive Director Of Finance · (470) 644-0095
Enumeration DateApril 13, 2011
Last NPPES UpdateJune 5, 2015
✔ NPI 1699065573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Trauma SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0127X
Definition
Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.
55 WHITCHER ST NE, Marietta, GA 30060

Other Names 1

Doing Business AsWellstar Trauma

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wellstar Trauma is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3,854

Medicare enrollment records show 3,854 clinicians reassign Medicare billing to Wellstar Trauma, which bills Medicare for the services they deliver. Of these, 220 practice at this address and 1,131 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 79

Nurse Practitioner773
Family Practice246
Internal Medicine225
Hospitalist215
Obstetrics/Gynecology165
Pediatric Medicine165
Certified Registered Nurse Anesthetist (CRNA)153
Anesthesiology151
71 other specialties1,761

Nearest to this location (20)

See all 3,854
Urology
NPI 1043467038
55 WHITCHER ST NE STE 250
Marietta, GA 30060
(770) 428-4475
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1023542925
55 WHITCHER ST NE STE 160
Marietta, GA 30060
(770) 422-1372
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1184697534
55 WHITCHER ST NE SUITE 130
Marietta, GA 30060
(770) 428-0462
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1467630491
55 WHITCHER ST NE SUITE 350
Marietta, GA 30060
(770) 424-6893
✔ PECOS✔ Accepts MedicareSame address
Colorectal Surgery (Proctology)
NPI 1821086554
55 WHITCHER ST NE SUITE 130
Marietta, GA 30060
(770) 428-0462
✔ PECOS✔ Accepts MedicareSame address
Critical Care (Intensivists)
NPI 1518177500
55 WHITCHER ST NE STE 160
Marietta, GA 30060
(770) 422-1372
✔ PECOS✔ Accepts MedicareSame address
Interventional Cardiology
NPI 1316937378
55 WHITCHER ST NE STE 350
Marietta, GA 30060
(770) 424-6893
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1114175858
55 WHITCHER ST NE STE 260
Marietta, GA 30060
(943) 202-7050
✔ PECOS✔ Accepts MedicareSame address
Infectious Disease
NPI 1215967211
55 WHITCHER ST NE SUITE 220
Marietta, GA 30060
(770) 429-0083
✔ PECOS✔ Accepts MedicareSame address
Pulmonary Disease
NPI 1821013087
55 WHITCHER ST NE SUITE 160
Marietta, GA 30060
(770) 422-1372
✔ PECOSSame address
Clinical Psychologist
NPI 1922273358
55 WHITCHER ST NE SUITE 420
Marietta, GA 30060
(770) 514-6760
✔ PECOS✔ Accepts MedicareSame address
Cardiac Electrophysiology
NPI 1942279328
55 WHITCHER ST NE SUITE 350
Marietta, GA 30060
(770) 424-6893
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1679232144
55 WHITCHER ST NE STE 420
Marietta, GA 30060
(770) 514-6760
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1316045503
55 WHITCHER ST NE SUITE 420
Marietta, GA 30060
(770) 422-1372
✔ PECOSSame address
Psychiatry
NPI 1649479973
55 WHITCHER ST NE SUITE 420
Marietta, GA 30060
(770) 514-6760
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1154403582
55 WHITCHER ST NE STE 400
Marietta, GA 30060
(470) 956-3960
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1669932083
55 WHITCHER ST NE STE 350
Marietta, GA 30060
(770) 424-6893
✔ PECOSSame address
Thoracic Surgery
NPI 1780666719
61WHITCHER ST NE SUITE 4120
Marietta, GA 30060
(770) 424-9732
✔ PECOSSame address
Neurosurgery
NPI 1285778613
61 WHITCHER ST NE SUITE 3110 KENNESTONE PHYSICIAN'S CENTER
Marietta, GA 30060
(770) 422-2326
✔ PECOS✔ Accepts MedicareSame address
Vascular Surgery
NPI 1043553803
61 WHITCHER ST NE STE 2100
Marietta, GA 30060
(770) 423-0595
✔ PECOS✔ Accepts MedicareSame address
See all 3,854 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 1699065573. It was assigned to this organization in the NPPES registry on April 13, 2011. The provider is doing business as Wellstar Trauma.

Where is Wellstar Medical Group, LLC located?

Wellstar Medical Group, LLC is located at 55 Whitcher St NE Suite 130, Marietta, GA 30060. The listed phone number is (770) 426-1629.

What is Wellstar Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Trauma Surgery, with taxonomy code 2086S0127X.

Is Wellstar Medical Group, LLC enrolled in Medicare?

Yes. Wellstar Medical Group, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wellstar Medical Group, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3,854 clinicians in 79 Medicare specialties reassign their Medicare billing to Wellstar Medical Group, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (773), Family Practice (246) and Internal Medicine (225). Of these, 220 practice at this address and 1,131 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Wellstar Medical Group, LLC was last updated on June 5, 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.