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WELLSTAR CARDIOVASCULAR MEDICINE, LLC
NPI 1811272693
Internal Medicine - Cardiovascular Disease in Woodstock, GA

Active since October 12, 2011CLIA 11D1082317 · Waiver
120 STONEBRIDGE PKWY, SUITE 110, WOODSTOCK, GA 30189(678) 324-4400(770) 528-9933 Get Directions Write a Review

NPPES record last updated: May 9, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Wellstar Cardiovascular Medicine, Llc NPPES

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

WELLSTAR CARDIOVASCULAR MEDICINE, LLC (NPI 1811272693) is a healthcare organization registered as a cardiovascular disease in Woodstock, Georgia and active in the NPI registry since October 2011. The organization holds a CLIA Waiver certificate valid through April 6, 2028 and lists Barry D Mangel, Chief Cardiology Officer, as its authorized official.

NPPES Registry Identity

NPI1811272693
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameWELLSTAR CARDIOVASCULAR MEDICINE, LLC
Location Address120 STONEBRIDGE PKWY, SUITE 110Woodstock, GA 30189-3767
Mailing Address55 Whitcher St Ne, Suite 350Marietta, GA 30060-1155 · (770) 424-6893 · Fax (770) 528-9938
Phone(678) 324-4400
Fax(770) 528-9933
Organization SubpartYesParent: Wellstar Health System, Inc.
Authorized OfficialBarry D MangelChief Cardiology Officer · (770) 424-6893
Enumeration DateOctober 12, 2011
Last NPPES UpdateMay 9, 2012
✔ NPI 1811272693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal Medicine · Clinical Cardiac ElectrophysiologyTaxonomy 207RC0001X
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X
120 STONEBRIDGE PKWY, Woodstock, GA 30189
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Other Identifiers 2

Medicaid386693863AGA
Medicare PIN511G701144GA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 11D1082317

Wellstar Cardiovascular Medicine · Woodstock, GA
Active · expires Apr 6, 2028
CLIA Number11D1082317
Laboratory TypePhysician Office
Certificate Effective DateApril 7, 2026
Certificate Expiration DateApril 6, 2028
Laboratory DirectorBarry M. Mangel
Laboratory Phone(678) 324-4400
Laboratory LocationWellstar Cardiovascular Medicine120 Stonebridge Parkway, Suite 110, Woodstock, GA 30189
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 11

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

GEORGIA PAIN MANAGEMENT
Clinic/Center (Pain)
120 STONEBRIDGE PKWY, SUITE 420
WOODSTOCK, GA 30189
Cherokee County (770) 544-1000
PEACHTREE ORTHOPAEDIC CLINIC, PA
Durable Medical Equipment & Medical Supplies
120 STONEBRIDGE PKWY, SUITE 440
WOODSTOCK, GA 30189
Cherokee County (404) 355-0743
WELLSTAR MEDICAL GROUP, LLC
Clinic/Center (Urgent Care)
120 STONEBRIDGE PKWY, SUITE 310
WOODSTOCK, GA 30189
Cherokee County (678) 494-2500
MRS. DEBORAH A KING APRN
Nurse Practitioner (Family)
120 STONEBRIDGE PKWY, SUITE 410
WOODSTOCK, GA 30189
Cherokee County (770) 517-6804
SAMSON PAIN CENTER PC
Clinic/Center (Ambulatory Surgical)
120 STONEBRIDGE PKWY, SUITE 420
WOODSTOCK, GA 30189
Cherokee County (770) 544-1000
DR. CARLOS M GARCIA MD
Internal Medicine
120 STONEBRIDGE PKWY
WOODSTOCK, GA 30189
Cherokee County (678) 494-2500
DR. JAMES DAVID ELLNER M.D.
Pain Medicine (Interventional Pain Medicine)
120 STONEBRIDGE PKWY, SUITE 420
WOODSTOCK, GA 30189
Cherokee County (770) 544-1000
AMY C MURPHY FNP
Nurse Practitioner (Family)
120 STONEBRIDGE PKWY
WOODSTOCK, GA 30189
Cherokee County (678) 250-0700

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 Cardiovascular Medicine, LLC's NPI number?

The NPI number for Wellstar Cardiovascular Medicine, LLC is 1811272693. It was assigned to this organization in the NPPES registry on October 12, 2011.

Where is Wellstar Cardiovascular Medicine, LLC located?

Wellstar Cardiovascular Medicine, LLC is located at 120 Stonebridge Pkwy Suite 110, Woodstock, GA 30189. The listed phone number is (678) 324-4400.

What is Wellstar Cardiovascular Medicine, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Does Wellstar Cardiovascular Medicine, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D1082317) is associated with this NPI, valid through April 6, 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 Cardiovascular Medicine, LLC was last updated on May 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.