WELLSTAR EAST PAULDING PRIMARY CARE CENTER, LLC
NPI 1992750087
Internal Medicine in Hiram, GA
- Organization
- Internal Medicine
- CLIA Number: 11D0725834
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-14-2026
About WELLSTAR EAST PAULDING PRIMARY CARE CENTER, LLC
This page provides the complete NPI Profile along with additional information for Wellstar East Paulding Primary Care Center, Llc, an internist established in Hiram, Georgia operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1992750087 assigned on May 2006. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. Wellstar East Paulding Primary Care Center, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Nicole Ashe (Executive Director Of Finance)
- NPI
- 1992750087 Verify this NPI
- Provider Name
- WELLSTAR EAST PAULDING PRIMARY CARE CENTER, LLC
- Entity Type
- Organization
- Location Address
- 176 MARIETTA HWY BUILDING A HIRAM, GA 30141
- Location Phone
- (678) 945-8200
- Location Fax
- (678) 945-8209
- Mailing Address
- 176 MARIETTA HWY BUILDING A HIRAM, GA 30141
- Mailing Phone
- (678) 945-8200
- Mailing Fax
- (678) 945-8209
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 05-24-2006
- Last Update Date
- 07-14-2008
- Code Navigator
An internist like Wellstar East Paulding Primary Care Center, Llc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, 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
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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
- 11D0725834
- Facility Type
- Physician Office
- Certificate Effective Date
- October 15, 2024
- Certificate Expiration Date
- October 14, 2026
- Laboratory Director
- AFUA AKHI-GBADE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Wellstar East Paulding Primary Care Center, Llc 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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Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
HIRAM, GA 30141
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1992750087, enumerated as an "organization" on May 24, 2006.
The provider is located at 176 MARIETTA HWY BUILDING A HIRAM, GA 30141 and the phone number is (678) 945-8200.
Internal Medicine with taxonomy code 207R00000X.
