WELLSTAR URGENT CARE ON DELK ROAD, LLC (NPI# 1053368902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053368902 |
| Entity Type | Organization |
| Organization Name | WELLSTAR URGENT CARE ON DELK ROAD, LLC |
| Practice Address |
2890 Delk Rd Se Marietta GA 30067-5326 |
| Practice Telephone | 7709558620 |
| Practice Fax Number | 7709550377 |
| Mailing Telephone | 7709558620 |
| Mailing Fax Number | 7709550377 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2008-07-14 |
| Authorized Official Name | NICOLE ASHE (EXECUTIVE DIRECTOR OF FINANCE) |
| Authorized Official Telephone | 7707925261 |
| Is Organization Subpart | Y |
| Parent Organization Name | WELLSTAR HEALTH SYSTEM, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
2890 DELK RD SE |
| City | MARIETTA |
| State | GA |
| Zip Code | 30067-5326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134118623 | Rodger W Chapman | Emergency Medicine | 2890 Delk Rd Se, Marietta, GA 30067-5326 | 2005-10-18 |
| 1558659854 | Wellstar Medical Group, LLC | Clinic/Center | 2890 Delk Rd Se, Marietta, GA 30067-5326 | 2011-07-20 |
| 1013202712 | Wellstar Medical Group, LLC | Clinic/Center | 2890 Delk Rd Se, Marietta, GA 30067-5326 | 2011-06-10 |
| 1376762674 | Maureen Ann Lamm | Family Medicine | 2890 Delk Rd Se, Marietta, GA 30067-5326 | 2007-04-25 |
| 1215095591 | Freeman M Montaque | Family Medicine | 2890 Delk Rd Se, Marietta, GA 30067 | 2006-12-05 |
| 1740348812 | Donna M Watson | Nurse Practitioner | 2890 Delk Rd Se, Marietta, GA 30067-5326 | 2006-12-04 |
| 1730283417 | Rebecca Hammond | Nurse Practitioner | 2890 Delk Rd Se, Marietta, GA 30067-5326 | 2006-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689140022 | Sherry Wilson King | Marriage & Family Therapist | 1640 Powers Ferry Rd Blg 7, Ste 300, Marietta, GA 30067 | 2018-10-23 |
| 1053886861 | Precious Angel Home Care Services Inc | Adult Companion | 2470 Windy Hill Road, Marietta, Suite 253, Marietta, GA 30067 | 2018-10-08 |
| 1194206466 | Joshua P Moree | Chiropractor | 860 Franklin Gtwy Se Apt 111, Marietta, GA 30067 | 2018-08-24 |
| 1841778081 | Sun Pediatrics LLC | Pediatrics | 2520 Windy Hill Rd Se Ste 104, Marietta, GA 30067 | 2018-07-31 |
| 1508358714 | Mbs Wellness Group, LLC | Durable Medical Equipment & Medical Supplies | 62 Shawnee Trail Se, Marietta, GA 30067 | 2018-06-04 |
| 1497254213 | Allison M Jancik | Chiropractor | 1355 Terrell Mill Road Se, Bldg 1474, Ste 150, Marietta, GA 30067 | 2018-02-07 |
| 1801304969 | Danielle Ann Dietrich | Chiropractor | 805 Winterset Pkwy Se, Marietta, GA 30067 | 2018-01-11 |
| 1740794866 | Jessica Lofgren | Chiropractor | 1130 Northchase Pkwy Se Ste 125, Marietta, GA 30067 | 2017-11-28 |
| 1871026393 | Rhonda Dawes Milner | Counselor | 1640 Powers Ferry Rd Bldg 16, Suite 100, Marietta, GA 30067 | 2017-04-11 |
| 1457894537 | Carcelia Delk | Counselor | 1110 Augusta Dr Se, Marietta, GA 30067 | 2016-11-22 |
| Find all providers in zip 30067 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376102830 | John Edward Cooke | Emergency Medicine | 2411 Tuxedo Ln Nw, Marietta, GA 30064-1898 | 2019-06-10 |
| 1902290406 | Irina Catanescu | Emergency Medicine | 401 Matthew Street, Emergency Department, Marietta, OH 45750 | 2015-03-23 |
| 1679877286 | Lawrence James Dawson | Emergency Medicine | 3761 Lassiter Rd, Marietta, GA 30062-4121 | 2010-12-23 |
| 1447410600 | Jeremy Sebastian Nelson | Emergency Medicine | 2221 Bonniewood Dr, Marietta, GA 30064-3820 | 2008-06-11 |
| 1427233501 | Virginia Garrett Galvin | Emergency Medicine | 3772 Baccurate Way, Marietta, GA 30062-8708 | 2008-01-08 |
| 1184841082 | John Charles Meholic | Emergency Medicine | 4175 S Arbor Cir, Marietta, GA 30066-2278 | 2007-04-20 |
| 1982740643 | Albert G Lintel IIi | Emergency Medicine | 3747 Roswell Rd Ste 107, Marietta, GA 30062 | 2007-01-29 |
| 1134133747 | Gayle Galan | Emergency Medicine | 1106 Colegate Dr Emergency Dept, Marietta, OH 45750-1323 | 2006-07-28 |
| 1134143910 | Thomas L Haltom | Emergency Medicine | 1401 Johnson Ferry Rd, Suite 390, Marietta, GA 30062-6495 | 2006-07-26 |
| 1508894767 | Marlon Fisher | Emergency Medicine | 2913 Kings Walk Ave, Marietta, GA 30062-4503 | 2006-06-28 |
| Find all providers in MARIETTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.