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WELLSTAR UROGYNECOLOGY
NPI 1871939405
Obstetrics & Gynecology - Gynecology in Austell, GA

Active since May 22, 2013
1700 HOSPITAL SOUTH DR, SUITE 102, AUSTELL, GA 30106(770) 792-6262(678) 398-1929 Get Directions Write a Review

NPPES record last updated: November 19, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wellstar Urogynecology NPPES

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

WELLSTAR UROGYNECOLOGY (NPI 1871939405) is a healthcare organization registered as a gynecology in Austell, Georgia and active in the NPI registry since May 2013. The organization lists Nicole Ashe, Executive Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1871939405
Entity TypeOrganization
Primary Taxonomy207VG0400X
Legal Business NameWELLSTAR MEDICAL GROUP, LLC
Location Address1700 HOSPITAL SOUTH DR, SUITE 102Austell, GA 30106-6810
Mailing Address1700 Hospital South Dr, Suite 102Austell, GA 30106-6810 · (770) 792-6262 · Fax (678) 398-1929
Phone(770) 792-6262
Fax(678) 398-1929
Organization SubpartYes
Authorized OfficialNicole AsheExecutive Director Of Finance · (470) 644-0095
Enumeration DateMay 22, 2013
Last NPPES UpdateNovember 19, 2013
✔ NPI 1871939405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
1700 HOSPITAL SOUTH DR, Austell, GA 30106
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Other Names 1

Doing Business AsWellstar Urogynecology

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

Other Providers at the Same Location NPPES 20

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

MS. COLETTE M TETREAULT CNM
Advanced Practice Midwife
1700 HOSPITAL SOUTH DR, SUITE 500
AUSTELL, GA 30106
Cobb County (770) 941-7717
THE HEART CLINIC, P.C.
Internal Medicine (Cardiovascular Disease)
1700 HOSPITAL SOUTH DR, SUITE 302
AUSTELL, GA 30106
Cobb County (770) 739-0999
MRS. STEPHANIE R BONHAUS CNM
Advanced Practice Midwife
1700 HOSPITAL SOUTH DR, SUITE 500
AUSTELL, GA 30106
Cobb County (771) 941-7717
EMILY A GOOLSBY CNM
Advanced Practice Midwife
1700 HOSPITAL SOUTH DR, SUITE 500
AUSTELL, GA 30106
Cobb County (770) 941-7717
MR. MICHAEL DAMIEN RODRIGUEZ MSW
Social Worker (Clinical)
1700 HOSPITAL SOUTH DR, SUITE 102
AUSTELL, GA 30106
Cobb County (770) 948-3233
DR. JACOB NATHAN BLATT M.D.
Internal Medicine (Clinical Cardiac Electrophysiology)
1700 HOSPITAL SOUTH DR, SUITE 409
AUSTELL, GA 30106
Cobb County (770) 424-6893
JEFFREY F HINES MD
Obstetrics & Gynecology (Gynecologic Oncology)
1700 HOSPITAL SOUTH DR, SUITE 102
AUSTELL, GA 30106
Cobb County (770) 792-6262
DR. MICAH R. TEPPER M.D.
Internal Medicine (Cardiovascular Disease)
1700 HOSPITAL SOUTH DR, SUITE 409
AUSTELL, GA 30106
Cobb County (770) 732-9100

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 1871939405. It was assigned to this organization in the NPPES registry on May 22, 2013. The provider is doing business as Wellstar Urogynecology.

Where is Wellstar Medical Group, LLC located?

Wellstar Medical Group, LLC is located at 1700 Hospital South Dr Suite 102, Austell, GA 30106. The listed phone number is (770) 792-6262.

What is Wellstar Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

When was this NPI record last updated?

The NPPES record for Wellstar Medical Group, LLC was last updated on November 19, 2013. 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.