WELLSTAR SMYRNA PRIMARY CARE CENTER
NPI 1700182375
Internal Medicine in Smyrna, GA
NPI Status: Active since January 31, 2011
Contact Information
562 CONCORD RD
SMYRNA, GA
ZIP 30082
Phone: (770) 384-9900
Fax: (770) 384-9912
- Organization
- Internal Medicine
- Accepts Insurance
- CLIA Number: 11D0691952
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-15-2026
About WELLSTAR SMYRNA PRIMARY CARE CENTER
This page provides the complete NPI Profile along with additional information for Wellstar Smyrna Primary Care Center, an internist established in Smyrna, Georgia operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1700182375 assigned on January 2011. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 12 years ago. Wellstar Smyrna Primary Care Center operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Wellstar Smyrna Primary Care Center. The authorized official of this NPI record is Mrs. Nicole Ashe (Executive Director Of Finance)
- NPI
- 1700182375
- Provider Legal Name
- WELLSTAR MEDICAL GROUP, LLC
- Other Organization Name
- WELLSTAR SMYRNA PRIMARY CARE CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 562 CONCORD RD SMYRNA, GA 30082
- Location Phone
- (770) 384-9900
- Location Fax
- (770) 384-9912
- Mailing Address
- 562 CONCORD RD SMYRNA, GA 30082
- Mailing Phone
- (770) 384-9900
- Mailing Fax
- (770) 384-9912
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 01-31-2011
- Last Update Date
- 11-19-2013
- Code Navigator
An internist like Wellstar Smyrna Primary Care Center is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, 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
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- License State
- GA
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | (GA) |
| 2 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | (GA) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- SoloCare Bronze EPO HDHP 8050 10004 - EPO
- SoloCare Exp Bronze EPO 7200 - $0 Generic Rx 10015 - EPO
- SoloCare Gold EPO 2300 - 3 Free PCP Visits, $5 Generic Rx 10010 - EPO
- SoloCare Silver EPO 6000/60 - 3 Free PCP Visits 10014 - EPO
- SoloCare Silver EPO 7000 - 3 Free PCP Visits, $5 Generic Rx 10013 - EPO
- SoloCare Standard Exp Bronze EPO 10008 - EPO
- SoloCare Standard Gold EPO 10006 - EPO
- SoloCare Standard Platinum EPO 10005 - EPO
- SoloCare Standard Silver EPO 10007 - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 11D0691952
- Facility Type
- Physician Office
- Certificate Effective Date
- August 16, 2024
- Certificate Expiration Date
- August 15, 2026
- Laboratory Director
- KYRA HARVEY
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Wellstar Smyrna Primary Care Center 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 Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 0 | 0 | 1 | 8 | 2 | 3 | 7 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 0 | 0 | 2 | 8 | 4 | 3 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 0 + 0 + 2 + 8 + 4 + 3 + 1 + 4 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1700182375 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
DR. ROGENA L MILLER MD
Pediatrics
562 CONCORD RD
SMYRNA, GA
ZIP 30082
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700182375, enumerated as an "organization" on January 31, 2011.
The provider is located at 562 CONCORD RD SMYRNA, GA 30082 and the phone number is (770) 384-9900.
Internal Medicine with taxonomy code 207R00000X.
The provider might be accepting Accepts: Alliant Health Plans, Inc.. Please consult your insurance carrier or call the provider to verify.
