WELLSTAR SMYRNA PRIMARY CARE CENTER
NPI 1700182375
Internal Medicine in Smyrna, GA

Active since January 31, 2011CLIA 11D0691952 · Waiver
562 CONCORD RD, SMYRNA, GA 30082(770) 384-9900(770) 384-9912 Get Directions Write a Review

NPPES record last updated: November 19, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Wellstar Smyrna Primary Care Center NPPES

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

WELLSTAR SMYRNA PRIMARY CARE CENTER (NPI 1700182375) is a healthcare organization registered as an internal medicine in Smyrna, Georgia and active in the NPI registry since January 2011. The organization holds a CLIA Waiver certificate valid through August 15, 2026 and lists Nicole Ashe, Executive Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1700182375
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameWELLSTAR MEDICAL GROUP, LLC
Location Address562 CONCORD RDSmyrna, GA 30082-4406
Mailing Address562 Concord RdSmyrna, GA 30082-4406 · (770) 384-9900 · Fax (770) 384-9912
Fax(770) 384-9912
Organization SubpartYes
Authorized OfficialNicole AsheExecutive Director Of Finance · (470) 644-0095
Enumeration DateJanuary 31, 2011
Last NPPES UpdateNovember 19, 2013
NPI 1700182375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedPediatricsTaxonomy 208000000X
562 CONCORD RD, Smyrna, GA 30082

Other Names 1

Doing Business AsWellstar Smyrna Primary Care Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted 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 Waiver 11D0691952

Wellstar Smyrna Primary Care Center · Smyrna, GA
Active · expires Aug 15, 2026
CLIA Number11D0691952
Laboratory TypePhysician Office
Certificate Effective DateAugust 16, 2024
Certificate Expiration DateAugust 15, 2026
Laboratory DirectorKyra Harvey
Laboratory Phone(770) 384-9900
Laboratory LocationWellstar Smyrna Primary Care Center562 Concord Road, SE, Smyrna, GA 30082
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Pediatrics
562 CONCORD RD
SMYRNA, GA 30082

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 1700182375. It was assigned to this organization in the NPPES registry on January 31, 2011. The provider is doing business as Wellstar Smyrna Primary Care Center.

Where is Wellstar Medical Group, LLC located?

Wellstar Medical Group, LLC is located at 562 Concord Rd, Smyrna, GA 30082. The listed phone number is (770) 384-9900.

What is Wellstar Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

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

Yes. A Certificate of Waiver (number 11D0691952) is associated with this NPI, valid through August 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Wellstar Medical Group, LLC accept?

Health plans from Alliant Health Plans, Inc. 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 November 19, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.