WELLSTAR HEALTH SYSTEM, LLC (NPI# 1134501422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134501422 |
| Entity Type | Organization |
| Organization Name | WELLSTAR HEALTH SYSTEM, LLC |
| Practice Address |
793 Sawyer Rd Marietta GA 30062-2222 |
| Practice Telephone | 4706440173 |
| Practice Fax Number | 4706440173 |
| Mailing Telephone | 4706440173 |
| Mailing Fax Number | 4706440173 |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2020-02-24 |
| Authorized Official Name | MRS. NICOLE ASHE (EXECUTIVE DIRECTOR OF FINANCE) |
| Authorized Official Telephone | 4706440095 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
GA | Ambulatory Health Care Facilities |
| Street Address |
793 SAWYER RD |
| City | MARIETTA |
| State | GA |
| Zip Code | 30062-2222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982970190 | Wellstar Clinical Partners Medicare Aco, LLC | Voluntary or Charitable | 793 Sawyer Rd, Marietta, GA 30062-2222 | 2012-04-02 |
| 1275068173 | Ebanga Agbor | Nurse Practitioner | 793 Sawyer Rd, Marietta, GA 30062-2222 | 2017-04-28 |
| 1215330451 | Wellstar Medical Group, LLC | Transplant Surgery | 793 Sawyer Rd, Marietta, GA 30062-2222 | 2014-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578051 | Pamela D Kretzmer | Social Worker | 3855 Shallowford Road, Suite 420, Marietta, GA 30062 | 2020-11-03 |
| 1932714680 | Michelle Chambless | Physical Therapist | Team Rehabilitation Ga01, LLC, 1401 Johnson Ferry Road, Suite 340, Marietta, GA 30062 | 2020-09-10 |
| 1700408887 | Life University | Chiropractor | 1323 Roswell Road, Marietta, GA 30062 | 2020-05-12 |
| 1104451160 | Sno Healthcare Group | Clinic/Center | 2424 Roswell Rd Ste 120, Marietta, GA 30062 | 2020-03-10 |
| 1811536212 | Sandy Plains Dental Group, PC | Dentist | 3460 Sandy Plains Rd, Suite 240, Marietta, GA 30062 | 2020-01-02 |
| 1073159034 | Magdala Tulcie Jodesty-jackson | Social Worker | 4343 Shalloword Road, Building H, Suite 4 Lower Level, Marietta, GA 30062 | 2019-11-25 |
| 1598235178 | Matthew Driggers | Counselor | 4343 Shallowford Rd C2, Marietta, GA 30062 | 2018-11-27 |
| 1750895785 | Emily Grace Minday | Counselor | 4343 Shallowford Road Building C, Suite 1 Lower Level, Marietta, GA 30062 | 2017-11-29 |
| 1477072122 | Jason Lee Amos | Speech-Language Pathologist | 3660 Chestnut Ridge Court, Marietta, GA 30062 | 2017-09-13 |
| 1346761376 | Marian Pomaah Opoku-agyeman | Nurse Practitioner | 4661 Andrea Pointe, Marietta, GA 30062 | 2017-06-29 |
| Find all providers in zip 30062 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518129774 | Independent Physical Therapy of Georgia, LLC | Clinic/Center | 400 Tower Rd Ne Ste 140, Marietta, GA 30060-9412 | 2008-06-30 |
| 1801926381 | Sumner Neurology Associates, Pllc | Clinic/Center | 1000 Johnson Ferry Rd Bldg F, Ste.120, Marietta, GA 30068-2114 | 2007-03-06 |
| 1588724462 | Optimum Healthcare Associates,llc | Clinic/Center | 2551 Roswell Rd Ste 100, Marietta, GA 30062-4761 | 2006-12-11 |
| 1275992240 | Wellstar Medical Group, LLC | Clinic/Center | 805 Sandy Plains Rd, Marietta, GA 30066-6340 | 2016-02-18 |
| 1013292119 | Independent Physical Therapy of Georgia, LLC | Clinic/Center | 1205 Johnson Ferry Rd Ste 130, Marietta, GA 30068-5418 | 2011-10-20 |
| 1811203920 | Benchmark Healthcare Services LLC | Clinic/Center | 400 Tower Rd Ne Ste 140, Marietta, GA 30060-9412 | 2010-08-26 |
| 1720394836 | Benchmark Healthcare Services LLC | Clinic/Center | 2580 Windy Hill Rd Se Ste 300, Marietta, GA 30067-8642 | 2010-08-26 |
| 1588978530 | Integrated Health Solutions of Marietta, LLC | Clinic/Center | 3405 Dallas Hwy Sw, Suite 301, Marietta, GA 30064-6426 | 2010-08-02 |
| 1326275918 | Independent Physical Therapy of Georgia, LLC | Clinic/Center | 2580 Windy Hill Rd Se Ste 300, Marietta, GA 30067-8642 | 2009-06-22 |
| 1417996844 | Prohbo - Marietta LLC | Clinic/Center | 1455 Bells Ferry Rd, Suite 100, Marietta, GA 30066-6078 | 2006-06-04 |
| 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.