WELLSTAR FAMILY MEDICINE (WILLOW CREEK)
NPI 1922405729
Family Medicine in Roswell, GA

NPI Status: Active since November 24, 2014

Contact Information

11685 ALPHARETTA HWY
SUITE 300
ROSWELL, GA
ZIP 30076
Phone: (678) 325-6611
Fax: (678) 325-6616

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  • Organization
  • Family Medicine
  • CLIA Number: 11D0689592
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 11-10-2026

About WELLSTAR FAMILY MEDICINE (WILLOW CREEK)

This page provides the complete NPI Profile along with additional information for Wellstar Family Medicine (willow Creek), a primary care provider established in Roswell, Georgia operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1922405729 assigned on November 2014. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Wellstar Family Medicine (willow Creek). The authorized official of this NPI record is Mrs. Nicole Ashe (Executive Director Of Finance)

NPI
1922405729
Provider Legal Name
WELLSTAR MEDICAL GROUP, LLC
Other Organization Name
WELLSTAR FAMILY MEDICINE (WILLOW CREEK)
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
11685 ALPHARETTA HWY SUITE 300 ROSWELL, GA 30076
Location Phone
(678) 325-6611
Location Fax
(678) 325-6616
Mailing Address
11685 ALPHARETTA HWY SUITE 300 ROSWELL, GA 30076
Mailing Phone
(678) 325-6611
Mailing Fax
(678) 325-6616
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
11-24-2014
Last Update Date
02-18-2015
Code Navigator

A primary care provider (PCP) like Wellstar Family Medicine (willow Creek) sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License State
GA
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area 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

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
11D0689592
Facility Type
Physician Office
Certificate Effective Date
November 11, 2024
Certificate Expiration Date
November 10, 2026
Laboratory Director
AMY BARFIELD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Wellstar Family Medicine (willow Creek) to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1922405729, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
2
Doubled → 4
Pos 4
2
Unchanged
Pos 5
4
Doubled → 8
Pos 6
0
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
7
Unchanged
Pos 9
2
Doubled → 4
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 4 → 8 5 → 10 → 1 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 4 + 2 + 8 + 0 + 1 + 0 + 7 + 4 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1922405729.

Other Providers at the Same Location


The following 14 providers are registered at the same or a nearby location.

Specialist
11685 ALPHARETTA HWY, 200
ROSWELL, GA 30076
Internal Medicine (Gastroenterology)
11685 ALPHARETTA HWY, SUITE 305
ROSWELL, GA 30076
Nurse Practitioner (Family)
11685 ALPHARETTA HWY, SUITE 155
ROSWELL, GA 30076
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
11685 ALPHARETTA HWY, # 100
ROSWELL, GA 30076
Dentist (General Practice)
11685 ALPHARETTA HWY, SUITE # 220
ROSWELL, GA 30076
Psychiatry & Neurology (Psychiatry)
11685 ALPHARETTA HWY, SUITE 210
ROSWELL, GA 30076
Rehabilitation Practitioner
11685 ALPHARETTA HWY, SUITE 155
ROSWELL, GA 30076
Family Medicine
11685 ALPHARETTA HWY, STE 300
ROSWELL, GA 30076
Dentist (General Practice)
11685 ALPHARETTA HWY, SUITE NO: 220
ROSWELL, GA 30076
Internal Medicine (Rheumatology)
11685 ALPHARETTA HWY, SUITE120
ROSWELL, GA 30076
Internal Medicine
11685 ALPHARETTA HWY, STE 270
ROSWELL, GA 30076
Physician Assistant
11685 ALPHARETTA HWY
ROSWELL, GA 30076
Internal Medicine (Gastroenterology)
11685 ALPHARETTA HWY, SUITE 320
ROSWELL, GA 30076
Surgery
11685 ALPHARETTA HWY, SUITE 180
ROSWELL, GA 30076

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922405729, enumerated as an "organization" on November 24, 2014.

The provider is located at 11685 ALPHARETTA HWY SUITE 300 ROSWELL, GA 30076 and the phone number is (678) 325-6611.

Family Medicine with taxonomy code 207Q00000X.