1. Home
  2. Directory
  3. Georgia
  4. Kennesaw
  5. Clinic Center
  6. NPI Profile

WELLSTAR KENNESAW STATE UNIVERSITY STUDENT HEALTH SERVICES
NPI 1790100170
Clinic/Center - Student Health in Kennesaw, GA

Active since February 21, 2014
3215 CAMPUS LOOP RD NW, KENNESAW, GA 30144(470) 578-6531(470) 578-9004 Get Directions Write a Review

NPPES record last updated: May 27, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wellstar Kennesaw State University Student Health Services NPPES

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

WELLSTAR KENNESAW STATE UNIVERSITY STUDENT HEALTH SERVICES (NPI 1790100170) is a healthcare organization registered as a student health in Kennesaw, Georgia and active in the NPI registry since February 2014. The organization lists Nicole Ashe, Executive Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1790100170
Entity TypeOrganization
Primary Taxonomy261QS1000X
Legal Business NameWELLSTAR MEDICAL GROUP, LLC
Location Address3215 CAMPUS LOOP RD NWKennesaw, GA 30144-3227
Mailing Address3215 Campus Loop Rd NwKennesaw, GA 30144-3227 · (470) 578-6531 · Fax (470) 578-9004
Phone(470) 578-6531
Fax(470) 578-9004
Organization SubpartYes
Authorized OfficialNicole AsheExecutive Director Of Finance · (470) 644-0095
Enumeration DateFebruary 21, 2014
Last NPPES UpdateMay 27, 2015
✔ NPI 1790100170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Student HealthAmbulatory Health Care Facilities
Taxonomy Code261QS1000X
3215 CAMPUS LOOP RD NW, Kennesaw, GA 30144
Open in Google Maps ↗

Other Names 1

Doing Business AsWellstar Kennesaw State University Student Health Services

Other Providers at the Same Location NPPES 4

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

ILIANA I VERMILLION NP-C
Nurse Practitioner (Family)
3215 CAMPUS LOOP RD NW
KENNESAW, GA 30144
Cobb County (470) 578-7937
DR. CHELSEA GONZALEZ D.O.
Family Medicine
3215 CAMPUS LOOP RD NW
KENNESAW, GA 30144
Cobb County (470) 578-7937
MRS. CAROLINE DIDONATO O'DONNELL NP
Nurse Practitioner
3215 CAMPUS LOOP RD NW
KENNESAW, GA 30144
Cobb County (470) 578-6644
CONFIDENCE ONYIRIMBA FNP-C, MBA
Nurse Practitioner (Family)
3215 CAMPUS LOOP RD NW
KENNESAW, GA 30144
Cobb County (470) 578-6644

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 1790100170. It was assigned to this organization in the NPPES registry on February 21, 2014. The provider is doing business as Wellstar Kennesaw State University Student Health Services.

Where is Wellstar Medical Group, LLC located?

Wellstar Medical Group, LLC is located at 3215 Campus Loop Rd NW, Kennesaw, GA 30144. The listed phone number is (470) 578-6531.

What is Wellstar Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Student Health, with taxonomy code 261QS1000X.

When was this NPI record last updated?

The NPPES record for Wellstar Medical Group, LLC was last updated on May 27, 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.