1. Home
  2. Directory
  3. Georgia
  4. Marietta
  5. Pediatrics
  6. NPI Profile

WELLSTAR KENMAR PEDIATRICS
NPI 1992001952
Pediatrics in Marietta, GA

Active since February 08, 2011CLIA 11D2080643 · Waiver
760 KENNESAW AVE NW, MARIETTA, GA 30060(770) 427-0183(770) 427-0788 Get Directions Write a Review

NPPES record last updated: November 18, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Wellstar Kenmar Pediatrics NPPES

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

WELLSTAR KENMAR PEDIATRICS (NPI 1992001952) is a healthcare organization registered as a pediatrics in Marietta, Georgia and active in the NPI registry since February 2011. The organization holds a CLIA Waiver certificate valid through February 18, 2028 and lists Nicole Ashe, Executive Director Of Finance, as its authorized official.

NPPES Registry Identity

NPI1992001952
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameWELLSTAR MEDICAL GROUP, LLC
Location Address760 KENNESAW AVE NWMarietta, GA 30060-6909
Mailing Address760 Kennesaw Ave NwMarietta, GA 30060-6909 · (770) 427-0183 · Fax (770) 427-0788
Phone(770) 427-0183
Fax(770) 427-0788
Organization SubpartYes
Authorized OfficialNicole AsheExecutive Director Of Finance · (470) 644-0095
Enumeration DateFebruary 8, 2011
Last NPPES UpdateNovember 18, 2013
✔ NPI 1992001952 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.
760 KENNESAW AVE NW, Marietta, GA 30060
Open in Google Maps ↗

Other Names 1

Doing Business AsWellstar Kenmar 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

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 Kenmar Pediatrics 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 Kenmar Pediatrics, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 1,134 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
Thomas Jacob, M.D.
Pediatric Medicine
NPI 1215295449
760 KENNESAW AVE NW
Marietta, GA 30060
(770) 427-0183
✔ PECOSSame address
Amy Kewin, MD
Pediatric Medicine
NPI 1821088972
760 KENNESAW AVE NW
Marietta, GA 30060
(770) 427-0183
✔ PECOSSame address
Christian Williams, M.D.
Pediatric Medicine
NPI 1245492230
760 KENNESAW AVE NW
Marietta, GA 30060
(770) 427-0183
✔ PECOSSame address
Ashlee Castro-Scott, N.P.
Nurse Practitioner
NPI 1376092015
400 TOWER RD NE STE 200
Marietta, GA 30060
(770) 422-1372
✔ PECOS✔ Accepts Medicare0.5 mi
Kevin Chapla, M.D.
Critical Care (Intensivists)
NPI 1225398175
400 TOWER RD NE STE 200
Marietta, GA 30060
(770) 422-1372
✔ PECOS✔ Accepts Medicare0.5 mi
Meera Ranganathan, MD
Pulmonary Disease
NPI 1245281948
400 TOWER RD NE STE 200
Marietta, GA 30060
(770) 422-1372
✔ PECOS✔ Accepts Medicare0.5 mi
Anu Kurl, MD
Rheumatology
NPI 1003261967
400 TOWER RD NE STE 160
Marietta, GA 30060
(770) 420-1690
✔ PECOS✔ Accepts Medicare0.5 mi
Sophie Arkin
Clinical Psychologist
NPI 1760031215
355 TOWER RD NE
Marietta, GA 30060
(470) 267-1580
✔ PECOS✔ Accepts Medicare0.5 mi
Joseph Bush, MD
Internal Medicine
NPI 1306432703
355 TOWER RD NE STE 300
Marietta, GA 30060
(770) 427-2457
✔ PECOS✔ Accepts Medicare0.5 mi
Sydney Trevino, DO
Family Practice
NPI 1649929191
355 TOWER RD NE STE 300
Marietta, GA 30060
(770) 427-2457
✔ PECOS✔ Accepts Medicare0.5 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 Medicare0.5 mi
Amanda Parkinson, LCSW
Clinical Social Worker
NPI 1841728805
175 WHITE ST NW
Marietta, GA 30060
(470) 793-0212
✔ PECOS✔ Accepts Medicare0.5 mi
Sandra Rodriguez, M.D.
Pediatric Medicine
NPI 1588893200
121 MARBLE MILL RD NW SUITE 101
Marietta, GA 30060
(770) 422-8315
✔ PECOS0.6 mi
Kimyra Milhouse, DO
Obstetrics/Gynecology
NPI 1588227664
833 CAMPBL HL ST NW STE 400
Marietta, GA 30060
(770) 528-0260
✔ PECOS✔ Accepts Medicare0.6 mi
Mohammed Waqar, MD
Anesthesiology
NPI 1205326410
531 ROSELANE ST NW STE 830
Marietta, GA 30060
(770) 794-0477
✔ PECOS0.6 mi
Alexander Liaugminas, M.D.
Physical Medicine and Rehabilitation
NPI 1225292733
100 LACY ST NW SUITE 150
Marietta, GA 30060
(770) 793-7635
✔ PECOS✔ Accepts Medicare0.6 mi
Jessica Robbins, PHD
Neuropsychiatry
NPI 1427591692
100 LACY ST NW STE 150
Marietta, GA 30060
(770) 514-6760
✔ PECOS✔ Accepts Medicare0.7 mi
Daniel Hoffmeister
Anesthesiology Assistant
NPI 1437565587
531 ROSELANE ST NW SUITE 750
Marietta, GA 30060
(770) 794-0477
✔ Accepts Medicare0.7 mi
Sheree Brown, M.D.
Radiation Oncology
NPI 1629085881
320 KENNESTONE HOSPITAL BLVD LL1
Marietta, GA 30060
(770) 793-7500
✔ PECOS✔ Accepts Medicare0.7 mi
Peter Trottier, MD
Emergency Medicine
NPI 1235112947
320 KENNESTONE HOSPITAL BLVD SUITE 201
Marietta, GA 30060
(770) 427-2457
✔ PECOS✔ Accepts Medicare0.7 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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2080643

Wellstar Medical Group-Kenmar Pediatrics-Barrett · Kennesaw, GA
Active · expires Feb 18, 2028
CLIA Number11D2080643
Laboratory TypePhysician Office
Certificate Effective DateFebruary 19, 2026
Certificate Expiration DateFebruary 18, 2028
Laboratory DirectorRegina Robbins
Laboratory Phone(770) 427-0183
Laboratory LocationWellstar Medical Group-Kenmar Pediatrics-Barrett1605 Collins Road, Kennesaw, GA 30152
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 1992001952. It was assigned to this organization in the NPPES registry on February 8, 2011. The provider is doing business as Wellstar Kenmar Pediatrics.

Where is Wellstar Medical Group, LLC located?

Wellstar Medical Group, LLC is located at 760 Kennesaw Ave NW, Marietta, GA 30060. The listed phone number is (770) 427-0183.

What is Wellstar Medical Group, LLC's specialty?

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

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, 3 practice at this address and 1,134 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Wellstar Medical Group, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2080643) is associated with this NPI, valid through February 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wellstar Medical Group, LLC was last updated on November 18, 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.