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WELLSTAR INTERNAL MEDICINE (AUSTELL 2)
NPI 1821466509
Internal Medicine in Austell, GA

Active since September 11, 2015
1605 MULKEY RD, SUITE 220, AUSTELL, GA 30106(770) 948-2353(770) 819-8824 Get Directions Write a Review

NPPES record last updated: September 11, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Wellstar Internal Medicine (austell 2) NPPES

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

WELLSTAR INTERNAL MEDICINE (AUSTELL 2) (NPI 1821466509) is a healthcare organization registered as an internal medicine in Austell, Georgia and active in the NPI registry since September 2015. The organization lists Nicole Ashe, Executive Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1821466509
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameWELLSTAR MEDICAL GROUP, LLC
Location Address1605 MULKEY RD, SUITE 220Austell, GA 30106-1127
Mailing Address1605 Mulkey Rd, Suite 220Austell, GA 30106-1127 · (770) 948-2353 · Fax (770) 819-8824
Phone(770) 948-2353
Fax(770) 819-8824
Organization SubpartYes
Authorized OfficialNicole AsheExecutive Director Of Finance · (470) 644-0095
Enumeration DateSeptember 11, 2015
✔ NPI 1821466509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1605 MULKEY RD, Austell, GA 30106
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Other Names 1

Doing Business AsWellstar Internal Medicine (austell 2)

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wellstar Internal Medicine (austell 2) is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3,854

Medicare enrollment records show 3,854 clinicians reassign Medicare billing to Wellstar Internal Medicine (austell 2), which bills Medicare for the services they deliver. Of these, 5 practice at this address and 1,019 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 79

Nurse Practitioner773
Family Practice246
Internal Medicine225
Hospitalist215
Obstetrics/Gynecology165
Pediatric Medicine165
Certified Registered Nurse Anesthetist (CRNA)153
Anesthesiology151
71 other specialties1,761

Nearest to this location (20)

See all 3,854
Kelsey Fortier, NP-C
Nurse Practitioner
NPI 1003355249
1605 MULKEY RD SUITE 220
Austell, GA 30106
(470) 956-3760
✔ PECOS✔ Accepts MedicareSame address
Michelle Lewis-Austin, FNP
Nurse Practitioner
NPI 1487081105
1605 MULKEY RD BLDG 2
Austell, GA 30106
(470) 956-3760
✔ PECOS✔ Accepts MedicareSame address
Shanekkia Black, MD
Internal Medicine
NPI 1164928545
1605 MULKEY RD STE 220
Austell, GA 30106
(470) 956-3760
✔ PECOS✔ Accepts MedicareSame address
Amber Driskell, MD
Internal Medicine
NPI 1821158759
1605 MULKEY RD SUITE 220
Austell, GA 30106
(770) 948-4455
✔ PECOS✔ Accepts MedicareSame address
Saadia Ilyas, M.D.
Family Practice
NPI 1790093524
1605 MULKEY RD STE 220
Austell, GA 30106
(470) 956-3760
✔ PECOS✔ Accepts MedicareSame address
Justin Park, MD
Sleep Medicine
NPI 1225536816
1664 MULKEY RD
Austell, GA 30106
(770) 422-1372
✔ PECOS✔ Accepts MedicareSame address
Shiram Alapaty, MD
Pulmonary Disease
NPI 1902254568
1664 MULKEY RD
Austell, GA 30106
(770) 422-1372
✔ PECOS✔ Accepts MedicareSame address
Daniela Guilliam, M.D.
Neurology
NPI 1245487800
1664 MULKEY RD
Austell, GA 30106
(770) 422-1372
✔ PECOS✔ Accepts MedicareSame address
John Williams, M.D.
Pulmonary Disease
NPI 1841467198
1664 MULKEY RD
Austell, GA 30106
(770) 422-1372
✔ PECOS✔ Accepts MedicareSame address
Ragheed Alturkmani, M.D.
Pulmonary Disease
NPI 1497947220
1664 MULKEY RD
Austell, GA 30106
(770) 422-1372
✔ PECOS✔ Accepts Medicare0.1 mi
Yoon Jeong Chang, M.D.
Obstetrics/Gynecology
NPI 1386859163
1791 MULKEY RD SUITE 200
Austell, GA 30106
(770) 732-5400
✔ PECOS✔ Accepts Medicare0.1 mi
Linda Range, CNM
Certified Nurse Midwife (CNM)
NPI 1588636898
1791 MULKEY RD SUITE 200
Austell, GA 30106
(770) 732-5400
✔ PECOS0.1 mi
Ashley Lebeau
Nurse Practitioner
NPI 1629841366
1791 MULKEY RD STE 200
Austell, GA 30106
(770) 732-5400
✔ PECOS✔ Accepts Medicare0.1 mi
Jennifer Boatwright, MD
Psychiatry
NPI 1841819299
3950 AUSTELL RD
Austell, GA 30106
(770) 732-4000
✔ PECOS✔ Accepts Medicare0.1 mi
Omar Hajmurad, M.D.
Anesthesiology
NPI 1568881951
3950 AUSTELL RD
Austell, GA 30106
(770) 702-1806
✔ PECOS0.1 mi
Anshika Khare, MD
Gastroenterology
NPI 1285139337
3950 AUSTELL RD STE 100
Austell, GA 30106
(470) 267-1760
✔ PECOS✔ Accepts Medicare0.1 mi
Ansa Mehreen, MD
Pathology
NPI 1730734674
3950 AUSTELL RD
Austell, GA 30106
(770) 732-3585
✔ PECOS✔ Accepts Medicare0.1 mi
Nina Murari, LPC
Marriage and Family Therapist
NPI 1033927884
3950 AUSTELL RD
Austell, GA 30106
(470) 732-3789
✔ PECOS✔ Accepts Medicare0.1 mi
Aleksandra Radivojevic, MD
Internal Medicine
NPI 1518661156
3950 AUSTELL RD
Austell, GA 30106
(470) 732-5493
✔ PECOS✔ Accepts Medicare0.1 mi
Caroline Stiles
Clinical Psychologist
NPI 1700660016
3950 AUSTELL RD
Austell, GA 30106
(770) 732-4000
✔ PECOS0.1 mi
See all 3,854 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 1821466509. It was assigned to this organization in the NPPES registry on September 11, 2015. The provider is doing business as Wellstar Internal Medicine (austell 2).

Where is Wellstar Medical Group, LLC located?

Wellstar Medical Group, LLC is located at 1605 Mulkey Rd Suite 220, Austell, GA 30106. The listed phone number is (770) 948-2353.

What is Wellstar Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Wellstar Medical Group, LLC enrolled in Medicare?

Yes. Wellstar Medical Group, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wellstar Medical Group, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3,854 clinicians in 79 Medicare specialties reassign their Medicare billing to Wellstar Medical Group, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (773), Family Practice (246) and Internal Medicine (225). Of these, 5 practice at this address and 1,019 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Wellstar Medical Group, LLC was last updated on September 11, 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.