WELLSTAR COMPLEX CARE CLINIC
NPI 1790189983
Internal Medicine - Endocrinology, Diabetes & Metabolism in Marietta, GA

Active since October 16, 2014
355 TOWER RD NE, 1ST FLOOR, MARIETTA, GA 30060(470) 644-0029(770) 499-0352 Get Directions Write a Review

NPPES record last updated: October 16, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Internal Medicine
  • Endocrinology, Diabetes & Metabolism

About WELLSTAR COMPLEX CARE CLINIC

This page provides the complete NPI Profile along with additional information for Wellstar Complex Care Clinic, an internist established in Marietta, Georgia operating as a Internal Medicine, focusing in endocrinology, diabetes & metabolism . The healthcare provider is registered in the NPI registry with number 1790189983 assigned on October 2014. The practitioner's primary taxonomy code is 207RE0101X. The provider is registered as an organization and their NPI record was last updated 12 years ago. Wellstar Complex Care Clinic operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Wellstar Complex Care Clinic. The authorized official of this NPI record is Mrs. Nicole Ashe (Executive Director Of Finance)

NPI
1790189983 Verify this NPI
Provider Legal Name
WELLSTAR MEDICAL GROUP, LLC
Other Organization Name
WELLSTAR COMPLEX CARE CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
355 TOWER RD NE 1ST FLOOR MARIETTA, GA 30060
Location Phone
(470) 644-0029
Location Fax
(770) 499-0352
Mailing Address
355 TOWER RD NE 1ST FLOOR MARIETTA, GA 30060
Mailing Phone
(470) 644-0029
Mailing Fax
(770) 499-0352
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
10-16-2014
Last Update Date
10-16-2014
Code Navigator

An internist like Wellstar Complex Care Clinic 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 Endocrinology, Diabetes & Metabolism

Taxonomy Code
207RE0101X
Type
Allopathic & Osteopathic Physicians
License State
GA
Taxonomy Description
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

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)
1207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

(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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. NICOLE ASHE

Authorized Official Title
EXECUTIVE DIRECTOR OF FINANCE
Authorized Official Phone
(470) 644-0095

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Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Nurse Practitioner
355 TOWER RD NE, SUITE 300
MARIETTA, GA 30060
Internal Medicine
355 TOWER RD NE, SUITE 300
MARIETTA, GA 30060
Eyewear Supplier
355 TOWER RD NE, SUITE 100
MARIETTA, GA 30060
Ophthalmology
355 TOWER RD NE, SUITE 100
MARIETTA, GA 30060
Nurse Practitioner (Family)
355 TOWER RD NE, SUITE 300
MARIETTA, GA 30060
Psychologist (Clinical)
355 TOWER RD NE
MARIETTA, GA 30060

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790189983, enumerated as an "organization" on October 16, 2014.

The provider is located at 355 TOWER RD NE 1ST FLOOR MARIETTA, GA 30060 and the phone number is (470) 644-0029.

Internal Medicine with taxonomy code 207RE0101X and a focus in Endocrinology, Diabetes & Metabolism.