WELLSTAR PEDIATRIC ANESTHESIA
NPI 1972905396
Anesthesiology - Pediatric Anesthesiology in Kennesaw, GA

Q: What is Wellstar Medical Group, LLC's NPI number?

The NPI number for Wellstar Medical Group, LLC is 1972905396. It was assigned to this organization in the NPPES registry on September 17, 2014. The provider is doing business as Wellstar Pediatric Anesthesia.

Q: What is Wellstar Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pediatric Anesthesiology, with taxonomy code 207LP3000X.

Active since September 17, 2014

1180 ERNEST W BARRETT PKWY NW, SUITE 100, KENNESAW, GA 30144(770) 644-1274(770) 644-1119 Get Directions Write a Review

NPPES record last updated: September 26, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Wellstar Pediatric Anesthesia NPPES

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

WELLSTAR PEDIATRIC ANESTHESIA (NPI 1972905396) is a healthcare organization registered as a pediatric anesthesiology in Kennesaw, Georgia and active in the NPI registry since September 2014. The organization lists Nicole Ashe, Executive Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1972905396

Entity TypeOrganization

Primary Taxonomy207LP3000X

Legal Business NameWELLSTAR MEDICAL GROUP, LLC

Location Address1180 ERNEST W BARRETT PKWY NW, SUITE 100Kennesaw, GA 30144-4534

Mailing Address1180 Ernest W Barrett Pkwy Nw, Suite 100Kennesaw, GA 30144-4534 · (770) 644-1274 · Fax (770) 644-1119

Phone(770) 644-1274

Fax(770) 644-1119

Organization SubpartYes

Authorized OfficialNicole AsheExecutive Director Of Finance · (470) 644-0095

Enumeration DateSeptember 17, 2014

Last NPPES UpdateSeptember 26, 2014

✔ NPI 1972905396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pediatric AnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207LP3000X

Definition

An anesthesiologist who has had additional skill and experience in and is primarily concerned with the anesthesia, sedation, and pain management needs of infants and children. A pediatric anesthesiologist generally provides services including the evaluation of complex medical problems in infants and children when surgery is necessary, planning and care for children before and after surgery, pain control, anesthesia and sedation for any procedures out of the operating room such as MRI, CT scan, and radiation therapy.

1180 ERNEST W BARRETT PKWY NW, Kennesaw, GA 30144

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Other Names 1

Doing Business AsWellstar Pediatric Anesthesia

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..Insurance ›

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 Pediatric Anesthesia is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3,852

Medicare enrollment records show 3,852 clinicians reassign Medicare billing to Wellstar Pediatric Anesthesia, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 1,011 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 specialties1,759

Nearest to this location (20)

See all 3,852

Nicole Davidson, MD

Pediatric Medicine

NPI 1316382328

1180 ERNEST W BARRETT PKWY NW
Kennesaw, GA 30144

(678) 354-2273

✔ PECOSSame address

Mohammad Khan, M.D.

Pediatric Medicine

NPI 1700249018

1180 ERNEST W BARRETT PKWY NW STE 102A
Kennesaw, GA 30144

(470) 956-9171

✔ PECOSSame address

Regina Robbins, M.D.

Pediatric Medicine

NPI 1326064007

1180 ERNEST W BARRETT PKWY NW WELLSTAR MEDICAL GROUP LLC
Kennesaw, GA 30144

(770) 427-0183

✔ PECOSSame address

Jeffrey Sacks, M.D.

Pediatric Medicine

NPI 1972892255

1180 ERNEST W BARRETT PKWY NW STE 102A
Kennesaw, GA 30144

(470) 956-9171

✔ PECOSSame address

Brandi Lewis, M.D.

Pediatric Medicine

NPI 1003010976

1180 ERNEST W BARRETT PKWY NW STE 102B
Kennesaw, GA 30144

(678) 354-2273

✔ PECOSSame address

Katelyn Longacre, CRNA

Certified Registered Nurse Anesthetist (CRNA)

NPI 1194161158

1300 RIDENOUR BLVD NW STE 300
Kennesaw, GA 30152

(770) 702-1806

0.5 mi

Stephanie Poteau, MD

Anesthesiology

NPI 1689171027

1300 RIDENOUR BLVD NW STE 300
Kennesaw, GA 30152

(770) 702-1806

✔ PECOS0.5 mi

Mark Fouts

Anesthesiology Assistant

NPI 1992257943

1621 N ROBERTS RD NW STE 110
Kennesaw, GA 30144

(770) 702-1806

0.8 mi

Brian Finke, PAAA

Anesthesiology Assistant

NPI 1518986835

1640 AIRPORT RD NW STE 110
Kennesaw, GA 30144

(678) 202-2074

1.0 mi

Melissa Norton, CRNA

Certified Registered Nurse Anesthetist (CRNA)

NPI 1649205840

1640 AIRPORT RD NW STE 110
Kennesaw, GA 30144

(678) 202-2074

✔ Accepts Medicare1.0 mi

Christopher Jimmerson, MD

Internal Medicine

NPI 1619968732

1810 WHITE CIR STE 120
Marietta, GA 30066

(770) 420-1600

✔ PECOS✔ Accepts Medicare1.3 mi

Laurie Lammert, MD

Family Practice

NPI 1891746152

1810 WHITE CIR STE 105
Marietta, GA 30066

(678) 797-6820

✔ PECOS✔ Accepts Medicare1.3 mi

Shannon Shockley, FNP-BC

Nurse Practitioner

NPI 1881255511

1810 WHITE CIR STE 105
Marietta, GA 30066

(678) 797-6820

✔ PECOS✔ Accepts Medicare1.3 mi

Amy Kewin, MD

Pediatric Medicine

NPI 1821088972

760 KENNESAW AVE NW
Marietta, GA 30060

(770) 427-0183

✔ PECOS2.2 mi

Sudha Reddy, M.D.

Emergency Medicine

NPI 1932208055

750 TOWN PARK LANE KAISER PERMANENTE TOWN PARK MEDICAL CENTER
Kennesaw, GA 30144

(770) 514-5464

✔ PECOS✔ Accepts Medicare2.6 mi

Abdul Latif Bikak, M.D

Advanced Heart Failure and Transplant Cardiology

NPI 1578827234

175 WHITE ST NW STE 100
Marietta, GA 30060

(470) 793-0200

✔ PECOS✔ Accepts Medicare2.6 mi

Amanda Parkinson, LCSW

Clinical Social Worker

NPI 1841728805

175 WHITE ST NW
Marietta, GA 30060

(470) 793-0212

✔ PECOS✔ Accepts Medicare2.6 mi

Kevin Chapla, M.D.

Critical Care (Intensivists)

NPI 1225398175

400 TOWER RD NE STE 200
Marietta, GA 30060

(770) 422-1372

✔ PECOS✔ Accepts Medicare2.7 mi

Meera Ranganathan, MD

Pulmonary Disease

NPI 1245281948

400 TOWER RD NE STE 200
Marietta, GA 30060

(770) 422-1372

✔ PECOS✔ Accepts Medicare2.7 mi

Anu Kurl, MD

Rheumatology

NPI 1003261967

400 TOWER RD NE STE 160
Marietta, GA 30060

(770) 420-1690

✔ PECOS✔ Accepts Medicare2.7 mi

See all 3,852 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 1972905396. It was assigned to this organization in the NPPES registry on September 17, 2014. The provider is doing business as Wellstar Pediatric Anesthesia.

Where is Wellstar Medical Group, LLC located?

Wellstar Medical Group, LLC is located at 1180 Ernest W Barrett Pkwy NW Suite 100, Kennesaw, GA 30144. The listed phone number is (770) 644-1274.

What is Wellstar Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pediatric Anesthesiology, with taxonomy code 207LP3000X.

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), 3,852 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 1,011 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Wellstar Medical Group, LLC accept?

Health plans from Alliant Health Plans, Inc. list Wellstar Medical Group, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wellstar Medical Group, LLC was last updated on September 26, 2014. 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.