WELLSTAR NEUROSURGERY
NPI 1760775738
Neurological Surgery in Marietta, GA

Active since May 24, 2011CLIA 11D2335962 · Waiver
61 WHITCHER ST NE, SUITE 3110, MARIETTA, GA 30060(770) 422-2326(770) 422-7797 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 Neurosurgery NPPES

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

WELLSTAR NEUROSURGERY (NPI 1760775738) is a healthcare organization registered as a neurological surgery in Marietta, Georgia and active in the NPI registry since May 2011. The organization holds a CLIA Waiver certificate valid through December 21, 2027 and lists Nicole Ashe, Executive Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1760775738
Entity TypeOrganization
Primary Taxonomy207T00000X
Legal Business NameWELLSTAR MEDICAL GROUP, LLC
Location Address61 WHITCHER ST NE, SUITE 3110Marietta, GA 30060-1176
Mailing Address61 Whitcher St Ne, Suite 3110Marietta, GA 30060-1176 · (770) 422-2326 · Fax (770) 422-7797
Fax(770) 422-7797
Organization SubpartYes
Authorized OfficialNicole AsheExecutive Director Of Finance · (470) 644-0095
Enumeration DateMay 24, 2011
Last NPPES UpdateNovember 18, 2013
NPI 1760775738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
61 WHITCHER ST NE, Marietta, GA 30060

Other Names 1

Doing Business AsWellstar Neurosurgery

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

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 11D2335962

Wellstar Neurosurgery Marietta · Marietta, GA
Active · expires Dec 21, 2027
CLIA Number11D2335962
Laboratory TypePhysician Office
Certificate Effective DateDecember 22, 2025
Certificate Expiration DateDecember 21, 2027
Laboratory DirectorFernanda Costa
Laboratory Phone(770) 422-2326
Laboratory LocationWellstar Neurosurgery Marietta61 Whitcher Street, NE, Suite 3110, Marietta, GA 30060
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 20

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

Pediatrics (Pediatric Cardiology)
61 WHITCHER ST NE
MARIETTA, GA 30060
Preventive Medicine (Undersea and Hyperbaric Medicine)
61 WHITCHER ST NE, SUITE 2150
MARIETTA, GA 30060
Emergency Medicine
61 WHITCHER ST NE, SUITE 2150
MARIETTA, GA 30060
Orthopaedic Surgery
61 WHITCHER ST NE, SUITE 1100
MARIETTA, GA 30060
Preventive Medicine (Undersea and Hyperbaric Medicine)
61 WHITCHER ST NE, SUITE 2150
MARIETTA, GA 30060
Physician Assistant
61 WHITCHER ST NE, SUITE 2100
MARIETTA, GA 30060
Physician Assistant
61 WHITCHER ST NE, SUITE 4100
MARIETTA, GA 30060
Neurological Surgery
61 WHITCHER ST NE, SUITE 3110 KENNESTONE PHYSICIAN'S CENTER
MARIETTA, GA 30060

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 1760775738. It was assigned to this organization in the NPPES registry on May 24, 2011. The provider is doing business as Wellstar Neurosurgery.

Where is Wellstar Medical Group, LLC located?

Wellstar Medical Group, LLC is located at 61 Whitcher St NE Suite 3110, Marietta, GA 30060. The listed phone number is (770) 422-2326.

What is Wellstar Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

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

Yes. A Certificate of Waiver (number 11D2335962) is associated with this NPI, valid through December 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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.