1. Home
  2. Directory
  3. Georgia
  4. Woodstock
  5. Family Medicine
  6. NPI Profile

WELLSTAR FAMILY MEDICINE AT WOODPARK PLACE
NPI 1760893457
Family Medicine in Woodstock, GA

Active since May 15, 2014CLIA 11D2072634 · Waiver
203 WOODPARK PL, BUILDING C; SUITE 100, WOODSTOCK, GA 30188(770) 926-4150(770) 926-0594 Get Directions Write a Review

NPPES record last updated: May 15, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wellstar Family Medicine At Woodpark Place NPPES

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

WELLSTAR FAMILY MEDICINE AT WOODPARK PLACE (NPI 1760893457) is a healthcare organization registered as a family medicine in Woodstock, Georgia and active in the NPI registry since May 2014. The organization holds a CLIA Waiver certificate valid through February 3, 2028 and lists Nicole Ashe, Executive Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1760893457
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWELLSTAR MEDICAL GROUP, LLC
Location Address203 WOODPARK PL, BUILDING C; SUITE 100Woodstock, GA 30188-3705
Mailing Address203 Woodpark Pl, Building C; Suite 100Woodstock, GA 30188-3705 · (770) 926-4150 · Fax (770) 926-0594
Phone(770) 926-4150
Fax(770) 926-0594
Organization SubpartYes
Authorized OfficialNicole AsheExecutive Director Of Finance · (470) 644-0095
Enumeration DateMay 15, 2014
✔ NPI 1760893457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
203 WOODPARK PL, Woodstock, GA 30188
Open in Google Maps ↗

Other Names 1

Doing Business AsWellstar Family Medicine At Woodpark Place

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 11D2072634

Wellstar Medical Group Family Med- Wylie Bridge · Woodstock, GA
Active · expires Feb 3, 2028
CLIA Number11D2072634
Laboratory TypePhysician Office
Certificate Effective DateFebruary 4, 2026
Certificate Expiration DateFebruary 3, 2028
Laboratory DirectorStacey Obrien
Laboratory Phone(678) 293-7854
Laboratory LocationWellstar Medical Group Family Med- Wylie Bridge14205 Highway 92, Ste 101, Woodstock, GA 30188
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

SPINE & SPORT PHYSICAL THERAPY L P
Clinic/Center (Physical Therapy)
203 WOODPARK PL, SUITE B220
WOODSTOCK, GA 30188
Cherokee County (770) 591-8228
BEYOND MENTAL HEALTH WELLNESS LLC
Anesthesiology
203 WOODPARK PL
WOODSTOCK, GA 30188
Cherokee County (678) 269-7301
ELIZABETH DANNER VANDEL PA-C
Physician Assistant
203 WOODPARK PL, BUILDING C
WOODSTOCK, GA 30188
Cherokee County (770) 926-4150
MR. WARREN GARY BERNE D.M.D.
Dentist (Prosthodontics)
203 WOODPARK PL, SUITE B-102
WOODSTOCK, GA 30188
Cherokee County (770) 926-0021
SHAWNQNA CHINN LMT
Massage Therapist
203 WOODPARK PL
WOODSTOCK, GA 30188
Cherokee County (678) 813-3603
MR. PATRICK M. FLEMING PA
Physician Assistant (Medical)
203 WOODPARK PL, BLDG. C
WOODSTOCK, GA 30188
Cherokee County (770) 926-4150
VILLAGE PODIATRY GROUP, LLC
Podiatrist
203 WOODPARK PL, STE. B200
WOODSTOCK, GA 30188
Cherokee County (770) 926-6686
ELAINE ALLEN DPM
Podiatrist
203 WOODPARK PL, SUITE B-200
WOODSTOCK, GA 30188
Cherokee County (770) 926-6686

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 1760893457. It was assigned to this organization in the NPPES registry on May 15, 2014. The provider is doing business as Wellstar Family Medicine At Woodpark Place.

Where is Wellstar Medical Group, LLC located?

Wellstar Medical Group, LLC is located at 203 Woodpark Pl Building C; Suite 100, Woodstock, GA 30188. The listed phone number is (770) 926-4150.

What is Wellstar Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

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

Yes. A Certificate of Waiver (number 11D2072634) is associated with this NPI, valid through February 3, 2028. 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 May 15, 2014. 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.