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WELLSTAR CREEKSIDE PEDIATRICS
NPI 1912203050
Pediatrics in Douglasville, GA

Active since February 08, 2011
6095 PROFESSIONAL PKWY, SUITE 100, DOUGLASVILLE, GA 30134(770) 920-2255(770) 920-9963 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 Creekside Pediatrics NPPES

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

WELLSTAR CREEKSIDE PEDIATRICS (NPI 1912203050) is a healthcare organization registered as a pediatrics in Douglasville, Georgia and active in the NPI registry since February 2011. The organization lists Nicole Ashe, Executive Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1912203050
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameWELLSTAR MEDICAL GROUP, LLC
Location Address6095 PROFESSIONAL PKWY, SUITE 100Douglasville, GA 30134-5607
Mailing Address6095 Professional Pkwy, Suite 100Douglasville, GA 30134-5607 · (770) 920-2255 · Fax (770) 920-9963
Phone(770) 920-2255
Fax(770) 920-9963
Organization SubpartYes
Authorized OfficialNicole AsheExecutive Director Of Finance · (470) 644-0095
Enumeration DateFebruary 8, 2011
Last NPPES UpdateNovember 19, 2013
✔ NPI 1912203050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
6095 PROFESSIONAL PKWY, Douglasville, GA 30134
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Other Names 1

Doing Business AsWellstar Creekside Pediatrics

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 17

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

DR. BRIDGET DAUPHIN MD
Pediatrics
6095 PROFESSIONAL PKWY, SUITE 100
DOUGLASVILLE, GA 30134
Douglas County (770) 920-2255
WELLSTAR MEDICAL GROUP, LLC
Obstetrics & Gynecology
6095 PROFESSIONAL PKWY, SUITE A-210
DOUGLASVILLE, GA 30134
Douglas County (770) 949-4188
DR. SUZANNE LEE FOX MD
Pediatrics
6095 PROFESSIONAL PKWY, SUITE 100
DOUGLASVILLE, GA 30134
Douglas County (770) 920-2255
DR. ETESHAMUL HUQUE MD
Pediatrics
6095 PROFESSIONAL PKWY, SUITE 100
DOUGLASVILLE, GA 30134
Douglas County (770) 920-2255
NORTHWEST DIAGNOSTIC IMAGING, INC
Radiology (Diagnostic Radiology)
6095 PROFESSIONAL PKWY, SUITE 101B
DOUGLASVILLE, GA 30134
Douglas County (770) 947-8100
MS. PAMELA LANDERS PA
Physician Assistant (Medical)
6095 PROFESSIONAL PKWY, SUITE 100
DOUGLASVILLE, GA 30134
Douglas County (770) 920-2255
WELLSTAR NORTH DOUGLAS OB/GYN, LLC
Obstetrics & Gynecology
6095 PROFESSIONAL PKWY, SUITE A 210
DOUGLASVILLE, GA 30134
Douglas County (770) 949-4188
WELLSTAR CREEKSIDE PEDIATRICS, LLC
Pediatrics
6095 PROFESSIONAL PKWY, SUITE 100
DOUGLASVILLE, GA 30134
Douglas County (770) 920-2255

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 1912203050. It was assigned to this organization in the NPPES registry on February 8, 2011. The provider is doing business as Wellstar Creekside Pediatrics.

Where is Wellstar Medical Group, LLC located?

Wellstar Medical Group, LLC is located at 6095 Professional Pkwy Suite 100, Douglasville, GA 30134. The listed phone number is (770) 920-2255.

What is Wellstar Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

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.